Jethwani Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JETHWANI DENTAL CORP

Practice address

6648 Irvine Center Dr
Irvine, CA 92618-2117

Phone

(949) 237-2872

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mita Jethwani, DDSNPI 1073801692

Title

President

Phone

(949) 237-2872

Specialties & licenses 1

Addresses

Other names 1

• Trooth & Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mita Jethwani, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1073801692
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1043887912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 AVIATION BLVD STE 514",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810",
            "telephone_number": "310-741-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6648 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182117",
            "telephone_number": "949-237-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETHWANI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "JETHWANI",
        "authorized_official_first_name": "MITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-237-2872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trooth & Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerry Hsieh, M.D., Inc.
• Marinda Lee Jesme, M.ED., LPCC
• Parvez P Jessani, MD
• Jessica Lee Psychological Corporation
• Catherine Jeter, PA-C
• Mary M Jew, D.D.S.
• Jewish Family Service of Orange County
• Jewish Federation & Family Services
• Dhiraj Jeyanandarajan, M.D.
• Maria Fernanda Jezbera

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.