OrganizationActive
Broadway Smile Boutique
NPI 1063208502 · Dental Clinic/Center · Glendale, CA
Broadway Smile Boutique is a Dental Clinic/Center organization in Glendale, CA (NPI 1063208502).
Provider details
- NPI number
- 1063208502
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Shirinian, Dentist(818) 454-6382
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 E Broadway # 302
Glendale, CA 91205-1384
Phone: (818) 900-1100
Street-level locationGet directions
Mailing address
3331 Castleman Ln
Burbank, CA 91504-1630
Registry dates
- Enumerated
- 2025-04-18
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Broadway Smile Boutique's NPI number?
- Broadway Smile Boutique's National Provider Identifier (NPI) is 1063208502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Smile Boutique?
- Broadway Smile Boutique is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Broadway Smile Boutique located?
- Broadway Smile Boutique's practice location on file with NPPES is 1100 E Broadway # 302, Glendale, CA 91205-1384.
- What is Broadway Smile Boutique's phone number?
- The practice phone number listed in the NPPES registry for Broadway Smile Boutique is (818) 900-1100.
- Who is the authorized official for Broadway Smile Boutique?
- The authorized official listed on Broadway Smile Boutique's NPPES record is David Shirinian, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Smile Boutique's NPI active?
- Yes — Broadway Smile Boutique's NPI (1063208502) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.