Organization Active NPI

Smilegivers

  • Public Health Dentistry
  • Los Angeles, CA
National Provider Identifier
1740909506
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
SMILEGIVERS
Practice address
2730 Ganahl St RM 25a
Los Angeles, CA 90033-2019
Phone
(323) 269-0415
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Dr. Shmuel Samoha, DDSNPI 1164729885
Title
Owner
Phone
(818) 430-9207

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

2730 Ganahl St RM 25a
Los Angeles, CA 90033-2019

Mailing address

5805 White Oak Ave # 16714
Encino, CA 91316-1150
Phone (818) 430-9207

National Provider Directory

National Provider Directory

Locations

21006 Hart St
Canoga Park, CA 91303

5805 White Oak Ave
#16714
Encino, CA 91316
Phone (818) 430-9207

2730 Ganahl St
Rm 25A
Los Angeles, CA 90033
Phone (323) 269-0415

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": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1740909506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 WHITE OAK AVE # 16714",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161150",
            "telephone_number": "818-430-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 GANAHL ST RM 25A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332019",
            "telephone_number": "323-269-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEGIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "SAMOHA",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-430-9207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "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 Oct 24, 2022; 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.