Active NPI
Franklin P Shirley, D,D.S.
- Dentist
- Los Angeles, CA
National Provider Identifier
1780987958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26704
- Practice address
- 1033 Gayley Ave Ste 110
Los Angeles, CA 90024-3417 - Phone
- (310) 208-5383
- NPI assigned
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26704 | CA | Primary |
Addresses
Primary practice location
1033 Gayley Ave Ste 110
Los Angeles, CA 90024-3417
Mailing address
1033 Gayley Ave Ste 110
Los Angeles, CA 90024-3417
Phone (310) 208-5383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26704 | Other | CA | CALIFORNIA STATE DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26704 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1780987958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 GAYLEY AVE STE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243417",
"telephone_number": "310-208-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 GAYLEY AVE STE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243417",
"telephone_number": "310-208-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "FRANKLIN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D,D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "26704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE DENTAL LICENSE",
"identifier": "26704",
"state": "CA"
}
],
"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 Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.