SHIRA FENYA SCHOLTEN
SHIRA FENYA BUTT · Dentist (General Practice)

Address: 1200 S Broadway Apt 302, Los Angeles, CA 90015-4322

SHIRA FENYA SCHOLTEN (NPI# 1629667266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629667266
Entity Type Individual
Full Name DR. SHIRA FENYA SCHOLTEN
Other Name DR. SHIRA FENYA BUTT (Former Name)
Gender Female
Credential DMD
Other Credential DMD
Practice Address 1200 S Broadway Apt 302
Los Angeles
CA 90015-4322
Practice Telephone 3025284340
Mailing Address 1200 S Broadway Apt 302
Los Angeles
CA 90015-4322
Mailing Telephone 3025284340
Certification Date 2021-01-17
Enumeration Date 2021-01-17
Last Update Date 2021-01-17
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
10562 AZ Dental Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
FHIR URL Axium 925 W 34th Street Den 102 Apt 302, Los Angeles, CA 900890641

Office Location

Street Address 1200 S BROADWAY APT 302
City LOS ANGELES
State CA
Zip Code 90015-4322

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NPI Name Taxonomy Address Enumeration
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1225650955 Luis Alvarado Student in an Organized Health Care Education/Training Program 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 2020-05-15
1386290385 Amy M Powell · Amy Gunter Student in an Organized Health Care Education/Training Program 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 2019-08-15
1881170199 Angie Andreina Trias Sanchez · Angie Andreina Trias Campos Student in an Organized Health Care Education/Training Program 936 S Olive St Apt 154, Los Angeles, CA 90015 2018-07-19
1083148753 Central Neighborhood Health Foundation - Fontana Clinic/Center · Federally Qualified Health Center (FQHC) 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 2017-04-19
1255871711 Ethan Lin Student in an Organized Health Care Education/Training Program 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 2017-03-03
1972055093 Yvonne Perez Social Worker 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 2016-10-25
1356896492 Mayano Ochi Midwife 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 2016-08-18
1518321686 Cielo Reyna-Donaldson Registered Nurse 1520 South Olive Street, Los Angeles, CA 90015 2016-04-05
1891175774 Amanecer Community Counseling Service Community/Behavioral Health 1500 S Olive St Rm 506, Los Angeles, CA 90015 2015-06-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821686999 Saido Ozawa 255 S Grand Ave Apt 1201, Los Angeles, CA 90012-3095 2021-01-05
1598353823 Sean Sooferian Dds, Inc 5814 Obama Blvd, Los Angeles, CA 90016-4406 2021-01-04
1205423803 Marisol Darlene Ceballos 3043 E 6th St, Los Angeles, CA 90023-1610 2020-12-29
1063008233 Woojin Lee 3060 W Olympic Blvd Apt 514, Los Angeles, CA 90006-3839 2020-12-11
1538765086 Kevin Michael Hadidjaja 905 E 2nd St Apt 336, Los Angeles, CA 90012-4465 2020-12-09
1508462649 D Park Mph Dental, Inc. 12021 Wilmington Ave Ste 1100, Los Angeles, CA 90059-3019 2020-12-04
1316542798 Navid Esfandi 1944 Glendon Ave Apt 104, Los Angeles, CA 90025-4621 2020-12-02
1528662921 Life Power Group 11901 Santa Monica Blvd Ste 203, Los Angeles, CA 90025-2783 2020-11-25
1295349082 Reza Mehr 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 2020-08-31
1396355590 Kamyar Moradian 9201 Venice Blvd, Los Angeles, CA 90034-3324 2020-08-04
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Competitor

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City LOS ANGELES
Zip Code 90015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.