Organization Active NPI

Tabibi Dental Corporation

  • General Practice Dentistry
  • Lawndale, CA
National Provider Identifier
1053669101
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41133 Issued in CA
Legal business name
TABIBI DENTAL CORPORATION
Practice address
16002 Hawthorne Blvd
Lawndale, CA 90260-2646
Phone
(310) 895-0133
Fax
(310) 472-1427
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Fariba Tabibi, DDSNPI 1275666943
Title
Owner
Phone
(310) 895-0133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41133 CA Primary

Addresses

Primary practice location

16002 Hawthorne Blvd
Lawndale, CA 90260-2646

Mailing address

16002 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 895-0133

National Provider Directory

National Provider Directory

Locations

16002 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 371-4104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1053669101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16002 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-895-0133",
            "fax_number": "310-472-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16002 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602646",
            "telephone_number": "310-895-0133",
            "fax_number": "310-472-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABIBI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "TABIBI",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-895-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.