GENNADY SHAPIRO DDS NPI 1215358205

NPI Information

  • NPI: 1215358205
  • Provider Name: GENNADY SHAPIRO, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 N CENTRAL AVE
    GLENDALE, CA
    ZIP 91203
  • Phone: (818) 242-2990

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NPI Details

Gennady Shapiro, DDS is a general practice dentist in Glendale, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Gennady Shapiro, DDS NPI is 1215358205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 N CENTRAL AVE
GLENDALE, CA
ZIP 91203-216
Phone: (818) 242-2990
Fax: (818) 242-3763

The NPI 1215358205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/18/2013 and was last updated on 12/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice39335CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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