Individual provider Active NPI

Misak Sarkis Shnorhavorian, D.D.S.

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1659680619
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60709 Issued in CA
Practice address
15643 Sherman Way
Suite 300
Van Nuys, CA 91406-4135
Phone
(818) 786-2209
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60709 CA Primary
Dentist 122300000X 60709 CA

Addresses

Primary practice location

15643 Sherman Way
Suite 300
Van Nuys, CA 91406-4135

Mailing address

15643 Sherman Way
Suite 300
Van Nuys, CA 91406-4135
Phone (818) 786-2209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408004554 CA Practitioner - Oral SurgeryPractitioner - Dentist 9032452354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tsibel Dental Practice Inc. General Practice CurrentSince Jan 28, 2024 Accepting new patients
A. Tsibel Dental Corp General Practice CurrentSince Jan 28, 2024 Accepting new patients
Arkady S. Tsibel Dental Corp General Practice CurrentSince Jan 28, 2024 Accepting new patients

Locations

2211 E 7th St
Ste C
Long Beach, CA 90804
Phone (562) 439-6562

181 N Hill Ave
Pasadena, CA 91106
Phone (626) 796-0313

10181 Magnolia Ave
Riverside, CA 92503
Phone (951) 200-3753

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1659680619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "818-786-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "818-786-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNORHAVORIAN",
        "first_name": "MISAK",
        "middle_name": "SARKIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60709",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.