NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc

Doing business as Smile Wide

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anaheim, CA
National Provider Identifier
1093131807
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BADII LEE DENTAL CORPORATION, INC
Doing business as
Smile Wide
Practice address
1007 W la Palma Ave
Suite 2
Anaheim, CA 92801-3620
Phone
(714) 635-9390
Fax
(714) 635-9014
NPI assigned
Mar 17, 2014
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Kiavash Kevin Badii, DDS
Title
Director/Owner
Phone
(714) 835-2383

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Pediatric Dentistry 1223P0221X NU
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1007 W la Palma Ave
Suite 2
Anaheim, CA 92801-3620

Mailing address

1007 W la Palma Ave
Suite 2
Anaheim, CA 92801-3620
Phone (714) 635-9390

Other names 1

  • SMILE WIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1007 W La Palma Ave
Ste 2
Anaheim, CA 92801
Phone (213) 235-5507

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1093131807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W LA PALMA AVE",
            "address_2": "SUITE 2",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013620",
            "telephone_number": "714-635-9390",
            "fax_number": "714-635-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W LA PALMA AVE",
            "address_2": "SUITE 2",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013620",
            "telephone_number": "714-635-9390",
            "fax_number": "714-635-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BADII",
        "authorized_official_first_name": "KIAVASH",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "714-835-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE WIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.