Kayvon Javid, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS48617 Issued in CA

Practice address

2104 PCH #5
Lomita, CA 90717-2503

Phone

(310) 539-1111

Fax

(310) 539-4111

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Javid Dental Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • Torrance, CA
  • NPI 1932650322
  Medicare reassignment NPD Authorized official
• Javid and Nadi Dental Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lomita, CA
  • NPI 1871221846
  NPD (past) Authorized official
• K. Javid DDS & M Nadi DDS Inc

  • General Practice Dentistry
  • San Pedro, CA
  • NPI 1720539042
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1073697348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PCH",
            "address_2": "# 5",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172503",
            "telephone_number": "310-539-1111",
            "fax_number": "310-539-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PCH #5",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172503",
            "telephone_number": "310-539-1111",
            "fax_number": "310-539-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVID",
        "first_name": "KAYVON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48617",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS48617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J D E Bilbao DDS
• James Leedom
• Janeth L. Chaux D.D.S. Inc.
• Javid and Nadi Dental Corporation
• Javid and Nadi Dental Corporation
• Jennewein Chiropractic, Inc.
• BJ Jennewein, DC
• Steven Jeff Jennewein, D.C.
• Lisa Johnson, PHARM.D.
• Angela Jones, BCBA

• Oral and Maxillofacial Surgery (Dentist) in Lomita, CA
• Providers in Lomita, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.