Organization Active NPI

Nabizadeh Dental Corporation

  • General Practice Dentistry
  • Winnetka, CA
National Provider Identifier
1083844468
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56220 Issued in CA
Legal business name
NABIZADEH DENTAL CORPORATION
Doing business as
brite smile dental
Practice address
7111 Winnetka Ave Ste 3
Winnetka, CA 91306-3673
Phone
(310) 435-7586
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Dr. Benny Nabizadeh, DMD
Title
Dentist
Phone
(310) 435-7586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 56220 CA Primary
Health Maintenance Organization 302R00000X 56220 CA

Addresses

Primary practice location

7111 Winnetka Ave Ste 3
Winnetka, CA 91306-3673

Mailing address

7111 Winnetka Ave Ste 3
Winnetka, CA 91306-3673
Phone (310) 435-7586

Other names 1

  • brite smile dental Doing business as

National Provider Directory

National Provider Directory

Locations

21617 Sherman Way
Canoga Park, CA 91303
Phone (818) 676-0970

16311 Ventura Blvd
Ste 640
Encino, CA 91436
Phone (310) 927-5166

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1083844468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 WINNETKA AVE STE 3",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063673",
            "telephone_number": "310-435-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 WINNETKA AVE STE 3",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063673",
            "telephone_number": "310-435-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIZADEH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "NABIZADEH",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-435-7586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56220",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "56220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brite smile dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "brite smile dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.