Dentistry of Shahgaldian Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTRY OF SHAHGALDIAN CORP

Doing business as

Super Kids Dental

Practice address

2071 E Highland Ave
Suite 110
San Bernardino, CA 92404

Phone

(818) 523-7626

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Shahgaldian, DDS

Title

Owner

Phone

(818) 523-7626

Specialties & licenses 1

Addresses

Other names 1

• Super Kids Dental Doing business as

Locations

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1932935616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 EL RITO AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081931",
            "telephone_number": "818-523-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 E HIGHLAND AVE",
            "address_2": "SUITE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "818-523-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF SHAHGALDIAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SHAHGALDIAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-523-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denkorach Inc (Aurora Home Caring)
• Brooke Ashley Dennis
• Lashanne D Dennis
• Shayla M Dennon
• Breannyca Dent
• Department of Behavioral Health, San Bernardino County
• Department of Behavioral Health, San Bernardino County Ca
• Viktoriya A Derjabin
• Desai Drugs Inc (Guardian Pharmacy)
• Aditya Mukesh Desai, MD

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.