Organization Active NPI

Nikjoo Dental Inc

  • Dental Clinic/Center
  • Whittier, CA
National Provider Identifier
1023490265
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57117 Issued in CA
Legal business name
NIKJOO DENTAL INC
Practice address
10420 Whittier Blvd
Whittier, CA 90606-1336
Phone
(562) 463-3332
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Ebi Donovan Nikjoo
Title
Ceo
Phone
(562) 463-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 57117 CA Primary

Addresses

Primary practice location

10420 Whittier Blvd
Whittier, CA 90606-1336

Mailing address

10420 Whittier Blvd
Whittier, CA 90606-1336
Phone (562) 463-3332

National Provider Directory

National Provider Directory
Tax ID family
Nikjoo Dental Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1023490265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061336",
            "telephone_number": "562-463-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061336",
            "telephone_number": "562-463-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKJOO DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EBI",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-463-3332"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.