DR. SHANTI GOPALAN DDS
NPI 1003953936
Dentist - Pediatric Dentistry in San Diego, CA

Active since January 31, 2007
13347 ENTREKEN AVE, SAN DIEGO, CA 92129(858) 740-6977 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 24, 2017 (2 updates tracked since 2017).

About Dr. Shanti Gopalan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANTI GOPALAN DDS (NPI 1003953936) is an individual pediatric dentistry provider in San Diego, California, licensed in California (55853) and active in the NPI registry since January 2007. She maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1003953936
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SHANTI GOPALANCredential: DDS
Location Address13347 ENTREKEN AVESan Diego, CA 92129-2353
Mailing Address13347 Entreken AveSan Diego, CA 92129-2353 · (858) 740-6977
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1003953936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 55853
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

13347 ENTREKEN AVE, San Diego, CA 92129

Secondary Practice Location 1

Location 15929 W. Peoria Ave., Suite #101Glendale, AZ 85302 · Phone (623) 878-5339 · Fax (623) 878-2607

Other Identifiers 1

MedicaidD7103AZ

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanti Gopalan's NPI number?

The NPI number for Shanti Gopalan is 1003953936. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Shanti Gopalan located?

Shanti Gopalan practices at 13347 Entreken Ave, San Diego, CA 92129. The listed phone number is (858) 740-6977.

What is Shanti Gopalan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Shanti Gopalan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Shanti Gopalan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanti Gopalan was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.