NPIMap

Organization Active NPI

Shant Terteryan DDS Inc

  • General Practice Dentistry
  • Mission Hills, CA
National Provider Identifier
1649984865
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHANT TERTERYAN DDS INC
Practice address
10436 Sepulveda Blvd
Mission Hills, CA 91345-2424
Phone
(818) 830-2828
Fax
(818) 232-3083
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Shant Terteryan, DDSNPI 1437759164
Title
Owner
Phone
(818) 665-5113

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

10436 Sepulveda Blvd
Mission Hills, CA 91345-2424

Mailing address

3145 Kingridge Way
Glendale, CA 91206-1028
Phone (818) 665-5113

Other names 1

  • Dental Blvd & Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@shantterteryanddsinc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

10436 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 830-2828

Practitioners & affiliated clinicians

Practitioners 7

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": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1649984865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 KINGRIDGE WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061028",
            "telephone_number": "818-665-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452424",
            "telephone_number": "818-830-2828",
            "fax_number": "818-232-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANT TERTERYAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "TERTERYAN",
        "authorized_official_first_name": "SHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-665-5113",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@shantterteryanddsinc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10436 Sepulveda Blvd",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913452424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Blvd & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.