Organization Active NPI

Ruben Shahbazian, DDS, PC

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1760935977
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RUBEN SHAHBAZIAN, DDS, PC
Practice address
7119 Elk Grove Blvd Ste 137
Elk Grove, CA 95758-9568
Phone
(916) 683-1994
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Ruben Shahbazian, D.D.S.NPI 1942419056
Title
President
Phone
(916) 683-1994

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7119 Elk Grove Blvd Ste 137
Elk Grove, CA 95758-9568

Mailing address

7119 Elk Grove Blvd Ste 137
Elk Grove, CA 95758-9568
Phone (916) 683-1994

National Provider Directory

National Provider Directory

Locations

7119 Elk Grove Blvd
Ste 137
Elk Grove, CA 95758
Phone (916) 683-1994

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": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1760935977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 ELK GROVE BLVD STE 137",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589568",
            "telephone_number": "916-683-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 ELK GROVE BLVD STE 137",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589568",
            "telephone_number": "916-683-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN SHAHBAZIAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-683-1994",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.