Active NPI
Misak Sarkis Shnorhavorian, D.D.S.
- General Practice Dentistry
- Van Nuys, CA
National Provider Identifier
1659680619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60709
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200408004554 | CA | Practitioner - Oral Surgery | 9032452354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tsibel Dental Practice Inc. | General Practice | Current | Accepting new patients |
| A. Tsibel Dental Corp | General Practice | Current | Accepting new patients |
| Arkady S. Tsibel Dental Corp | General Practice | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.