Organization Active NPI

Natalya Shagramanova DDS, Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1720457500
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54204 Issued in CA
Legal business name
NATALYA SHAGRAMANOVA DDS, INC
Practice address
1656 Wilshire Blvd
Los Angeles, CA 90017-6011
Phone
(213) 484-5050
Fax
(213) 484-5040
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Natalya Shagramanova DDS, Inc
Title
President
Phone
(818) 653-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54204 CA Primary

Addresses

Primary practice location

1656 Wilshire Blvd
Los Angeles, CA 90017-6011

Mailing address

1656 Wilshire Blvd
Los Angeles, CA 90017-1611
Phone (213) 484-5050

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.

Locations

1656 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 413-6566

Practitioners & affiliated clinicians

Practitioners 1

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": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1720457500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171611",
            "telephone_number": "213-484-5050",
            "fax_number": "213-484-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900176011",
            "telephone_number": "213-484-5050",
            "fax_number": "213-484-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA SHAGRAMANOVA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "SHAGRAMANOVA DDS, INC",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-653-7778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.