Organization Active NPI

Smile Focus, Inc

  • General Practice Dentistry
  • Stevenson Ranch, CA
National Provider Identifier
1003166992
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48602 Issued in CA
Legal business name
SMILE FOCUS, INC
Practice address
25856 Hemingway Ave
Stevenson Ranch, CA 91381-2319
Phone
(661) 287-1523
Fax
(661) 287-3201
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Derick Gharibian
Title
Vice President
Phone
(818) 489-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48602 CA Primary

Addresses

Primary practice location

25856 Hemingway Ave
Stevenson Ranch, CA 91381-2319

Mailing address

25856 Hemingway Ave
Stevenson Ranch, CA 91381-2319
Phone (661) 287-1523

National Provider Directory

National Provider Directory

Locations

25856 Hemingway Ave
Stevenson Ranch, CA 91381
Phone (661) 287-1523

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1003166992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25856 HEMINGWAY AVE",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812319",
            "telephone_number": "661-287-1523",
            "fax_number": "661-287-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25856 HEMINGWAY AVE",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812319",
            "telephone_number": "661-287-1523",
            "fax_number": "661-287-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FOCUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "GHARIBIAN",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-489-4262"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.