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DR. AIDA SHADRAV DMD
NPI 1114598646
Dentist - Pediatric Dentistry in Los Angeles, CA

Active since July 06, 2021
714 TIVERTON AVE, LOS ANGELES, CA 90095(310) 825-9789 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Sep 27, 2024, Jul 11, 2024 and 3 more (6 updates tracked since 2021).

About Dr. Aida Shadrav Dmd NPPES

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

DR. AIDA SHADRAV DMD (NPI 1114598646) is an individual pediatric dentistry provider in Los Angeles, California, licensed in California (108909) and active in the NPI registry since July 2021. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1114598646
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AIDA SHADRAVCredential: DMD
Location Address714 TIVERTON AVELos Angeles, CA 90095-8361
Mailing Address714 Tiverton AveLos Angeles, CA 90095-8361 · (310) 825-9789
Phone(310) 825-9789
Sole ProprietorYes
Enumeration DateJuly 6, 2021
Last NPPES UpdateOctober 8, 20246 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1114598646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CA · 108909✔ Licensed in NV · S6-229C
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.
714 TIVERTON AVE, Los Angeles, CA 90095
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Secondary Practice Location 1

Location 1320 N Nellis BlvdLas Vegas, NV 89110-0052 · Phone (702) 605-9120

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGA MOGHADAM HAJIAN
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789
DR. MYUNG S CHA DDS
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6510
ARYEH JULIUS IOSIF
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5619
DR. JEREMIAH WARREN DDS
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
JONATHAN JOSEPH KOREL
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
DR. YATING PRISCILLA YOUNG DDS
Dentist (Periodontics)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3795
LIANA H SHEILY
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 794-5750
HANNAH BODNAR
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789

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 Aida Shadrav's NPI number?

The NPI number for Aida Shadrav is 1114598646. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Aida Shadrav located?

Aida Shadrav practices at 714 Tiverton Ave, Los Angeles, CA 90095. The listed phone number is (310) 825-9789.

What is Aida Shadrav's specialty?

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

What insurance does Aida Shadrav accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Aida Shadrav 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 Aida Shadrav was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.