Shanabo Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHANABO DENTAL CORPORATION

Practice address

14607 Ramona Blvd
Baldwin Park, CA 91706-3465

Phone

(626) 960-5108

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Shaza Shanabo

Title

President

Phone

(909) 438-4567

Specialties & licenses 1

Addresses

Other names 1

• no Doing business as

Locations

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1801453337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14607 RAMONA BLVD STE B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14607 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063465",
            "telephone_number": "626-960-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANABO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "SHANABO",
        "authorized_official_first_name": "SHAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-438-4567"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manav D Shah, MD
• Pratik Shah, D.O.
• Preeti P. Shah, MD
• Rupal Shah, PHARMD.
• Shilpa Miniyar Shah, MD
• Shaza Shanabo, DDS
• Shanti Prakash Inc
• Chris J Shean, MD
• Brian W.C. Shen, MD
• Mary E Sheridan, CNM

• Dental Clinic/Center in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.