NPIMap

Organization Active NPI

Natalya Shagramanova D.D.S. Inc.

  • Dentist
  • Glendale, CA
National Provider Identifier
1710164108
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54204 Issued in CA
Legal business name
NATALYA SHAGRAMANOVA D.D.S. INC.
Practice address
1150 N Pacific Ave
Glendale, CA 91202-2359
Phone
(818) 240-0138
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Natalya Shagramanova, D.D.S.NPI 1023051646
Title
Owner/President
Phone
(818) 653-7778

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
Dentist 122300000X 54204 CA Primary
General Practice Dentistry 1223G0001X 54204 CA

Addresses

Primary practice location

1150 N Pacific Ave
Glendale, CA 91202-2359

Mailing address

7924 Woodman Ave
#27
Van Nuys, CA 91402-6246
Phone (818) 653-7778

National Provider Directory

National Provider Directory
Tax ID family
Natalya Shagramanova DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1710164108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 WOODMAN AVE",
            "address_2": "#27",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914026246",
            "telephone_number": "818-653-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022359",
            "telephone_number": "818-240-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA SHAGRAMANOVA D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SHAGRAMANOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-653-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54204",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.