Niknam & Khanian Dental Practice, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NIKNAM & KHANIAN DENTAL PRACTICE, INC.

Doing business as

All Family Dental Care

Practice address

4023 W Avenue L
Lancaster, CA 93536-4213

Phone

(661) 722-7722

Fax

(661) 722-7726

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Annette Camille Jolicoeur, R.D.A

Title

Office Manager

Phone

(661) 722-7722

Specialties & licenses 6

Addresses

Other names 1

• All Family Dental Care Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1053529586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364213",
            "telephone_number": "661-722-7722",
            "fax_number": "661-722-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364213",
            "telephone_number": "661-722-7722",
            "fax_number": "661-722-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKNAM & KHANIAN DENTAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "JOLICOEUR",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-722-7722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, 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 29, 2011; 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.