Active NPI
Jossein Shahangian, DDS, MS
- Pediatric Dentistry
- San Diego, CA
National Provider Identifier
1639379142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 59342
- Practice address
- 9840 Hibert St Ste B4
San Diego, CA 92131-1071 - Phone
- (858) 335-1165
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 59342 | CA | Primary |
| Pediatric Dentistry | 1223P0221X | 8551 | NC | |
| Dentist | 122300000X | 150635 | NC |
Addresses
Primary practice location
9840 Hibert St Ste B4
San Diego, CA 92131-1071
Mailing address
9840 Hibert St
Suite B-4
San Diego, CA 92131-1071
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drj@scrippspd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150635 | NC | MD | Dentist |
| 59342 | CA | MD | Pediatric Dentist |
| 8551 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S J Shahangian DDS Ms Inc | Pediatric Dentistry | Current | Accepting new patients |
| S J Shahangian DDS Ms Inc | Pediatric Dentistry | Past | Accepting new patients |
Locations
9840 Hibert St
Ste B4
San Diego, CA 92131
Phone (858) 335-1165
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Scripps Pediatric Dentistry
- Pediatric Dentistry
- Alpine, CA
- NPI 1235750811
-
- Pediatric Dentistry
- San Diego, CA
- NPI 1548570203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586044800000",
"number": "1639379142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9840 HIBERT ST",
"address_2": "SUITE B-4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9840 HIBERT ST STE B4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311071",
"telephone_number": "858-335-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHANGIAN",
"first_name": "JOSSEIN",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2020-04-05",
"certification_date": "2020-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "59342",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8551",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "150635",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drj@scrippspd.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "9840 Hibert St Ste B4",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921311071",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.