Michael F Shashaty, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41786 Issued in CA

Practice address

13521 Sherman Way Ste H
Van Nuys, CA 91405-2895

Phone

(818) 905-1515

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael Shashaty DDS Inc

  • Dentist
  • Van Nuys, CA
  • NPI 1922145929
  NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1669696357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY STE H",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052895",
            "telephone_number": "818-905-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY STE H",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052895",
            "telephone_number": "818-905-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASHATY",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D41786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharing Care Hospice
• Sharp Diagnostic,Inc.
• Sharp Hospice Services
• Sharp Imaging Medical Group, Inc
• Sharp Medical Evaluators, LLC
• Eva Jane Shaw, CPNP
• Laurence Duane Shaw, M.D.
• Hagop H. Shebat, B.S.
• Justin Sheehan
• Sheer Love Hospice

• Dentist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.

Verify at the official NPI Registry.