IndividualActive
Nicole Mahanian
NPI 1104370972 · Dentist · Sacramento, CA
Nicole Mahanian is a Dentist provider in Sacramento, CA (NPI 1104370972).
Provider details
- NPI number
- 1104370972
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 100589 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
2005 Evergreen St
Suite 1550
Sacramento, CA 95815-3892
Phone: (310) 486-4772
Street-level locationGet directions
Mailing address
2005 Evergreen St
Sacramento, CA 95815-3892
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2016-08-10
Frequently asked questions
- What is Nicole Mahanian's NPI number?
- Nicole Mahanian's National Provider Identifier (NPI) is 1104370972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Mahanian's specialty?
- Nicole Mahanian is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Nicole Mahanian located?
- Nicole Mahanian's practice location on file with NPPES is 2005 Evergreen St, Sacramento, CA 95815-3892.
- What is Nicole Mahanian's phone number?
- The practice phone number listed in the NPPES registry for Nicole Mahanian is (310) 486-4772.
- Is Nicole Mahanian's NPI active?
- Yes — Nicole Mahanian's NPI (1104370972) is active in the NPPES registry as of the last update on 2016-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.