NPIMap

Organization Active NPI

Shahinian and Novshadian Dental Group

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1639869993
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SHAHINIAN AND NOVSHADIAN DENTAL GROUP
Practice address
3342 Verdugo Rd Ste B
Los Angeles, CA 90065-2845
Phone
(323) 825-8558
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anna Shahinian, DDSNPI 1629574389
Title
Owner Dentist
Phone
(323) 825-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

3342 Verdugo Rd Ste B
Los Angeles, CA 90065-2845

Mailing address

3342 Verdugo Rd Ste B
Los Angeles, CA 90065-2845
Phone (323) 825-8558

Other identifiers 1

IdentifierTypeStateIssuer
103248OtherCADENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

3342 Verdugo Rd
Ste B
Los Angeles, CA 90065
Phone (323) 825-8558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1639869993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 VERDUGO RD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652845",
            "telephone_number": "323-825-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 VERDUGO RD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652845",
            "telephone_number": "323-825-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHINIAN AND NOVSHADIAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "SHAHINIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "323-825-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "103248",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.