Individual provider Active NPI

Aleksandra Blagoeva Shaykova, D.D.S.

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1992957567
Registry record updated Nov 18, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57482 Issued in CA
Practice address
239 S la Cienega Blvd
Suite 201
Beverly Hills, CA 90211-3328
Phone
(310) 289-1200
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57482 CA Primary

Addresses

Primary practice location

239 S la Cienega Blvd
Suite 201
Beverly Hills, CA 90211-3328

Mailing address

710 Westmount Dr
Apt D
West Hollywood, CA 90069-5115
Phone (310) 657-8731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002476 FL Order and Referring Only - DentistPractitioner - Dentist 6204149396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1992957567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WESTMOUNT DR",
            "address_2": "APT D",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695115",
            "telephone_number": "310-657-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S LA CIENEGA BLVD",
            "address_2": "SUITE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113328",
            "telephone_number": "310-289-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYKOVA",
        "first_name": "ALEKSANDRA",
        "middle_name": "BLAGOEVA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.