Organization Active NPI

Shahangian Dental Group, Inc

  • Dental Clinic/Center
  • Glendale, CA
National Provider Identifier
1952175580
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHAHANGIAN DENTAL GROUP, INC
Practice address
1100 E Broadway Ste 302
Glendale, CA 91205-1384
Phone
(818) 429-3171
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Idean Shahangian, DDSNPI 1467002303
Title
Dentist
Phone
(949) 500-7987

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1100 E Broadway Ste 302
Glendale, CA 91205-1384

Mailing address

1100 E Broadway Ste 302
Glendale, CA 91205-1384
Phone (818) 429-3171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1952175580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051384",
            "telephone_number": "818-429-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051384",
            "telephone_number": "818-429-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHANGIAN DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "SHAHANGIAN",
        "authorized_official_first_name": "IDEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-500-7987",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.