Elena Shabani DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELENA SHABANI DDS INC

Practice address

2535 Foothill Blvd Ste 203
La Crescenta, CA 91214-4580

Phone

(818) 600-4012

NPI assigned

Nov 5, 2018

Last updated

Jul 24, 2019By 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

Elena Shabani, DDSNPI 1306216544

Title

Dentist

Phone

(818) 600-4012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Elena Shabani, D.D.S

  • Dentist
  • Glendale, CA
  • NPI 1306216544
  Medicare reassignment NPD Authorized official
• Armand Keuroghlian, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glendale, CA
  • NPI 1891182507
  Medicare reassignment NPD

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1972071389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 FOOTHILL BLVD STE 203",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144580",
            "telephone_number": "818-600-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 FOOTHILL BLVD STE 203",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144580",
            "telephone_number": "818-600-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA SHABANI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SHABANI",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-600-4012",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.