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DR. NICOLE MAHANIAN
NPI 1104370972
Dentist in Sacramento, CA

Active since August 10, 2016
2005 EVERGREEN ST, SUITE 1550, SACRAMENTO, CA 95815(310) 486-4772 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicole Mahanian NPPES

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

DR. NICOLE MAHANIAN (NPI 1104370972) is an individual dentist in Sacramento, California, licensed in California (100589) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1104370972
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NICOLE MAHANIAN
Location Address2005 EVERGREEN ST, SUITE 1550Sacramento, CA 95815-3892
Mailing Address2005 Evergreen St, Suite 1550Sacramento, CA 95815-3892
Phone(310) 486-4772
Sole ProprietorNo
Enumeration DateAugust 10, 2016
✔ NPI 1104370972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 100589
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2005 EVERGREEN ST, Sacramento, CA 95815
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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 Nicole Mahanian's NPI number?

The NPI number for Nicole Mahanian is 1104370972. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Nicole Mahanian located?

Nicole Mahanian practices at 2005 Evergreen St Suite 1550, Sacramento, CA 95815. The listed phone number is (310) 486-4772.

What is Nicole Mahanian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nicole Mahanian 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 Nicole Mahanian 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 Nicole Mahanian was last updated on August 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.