Active NPI
Saba Dental Group
- General Practice Dentistry
- Marina del Rey, CA
National Provider Identifier
1093528416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SABA DENTAL GROUP
- Practice address
- 4551 Glencoe Ave Ste 200
Marina del Rey, CA 90292-7927 - Phone
- (310) 822-0202
- Fax
- (310) 823-5051
- NPI assigned
- Jan 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daisy Chavez
- Title
- Office Manager
- Phone
- (310) 822-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4551 Glencoe Ave Ste 200
Marina del Rey, CA 90292-7927
Mailing address
4551 Glencoe Ave Ste 200
Marina del Rey, CA 90292-7927
Phone (310) 822-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487901682 | Other | CA | TYOE 1 NPI |
Other names 1
- SmileOn Dentistry
National Provider Directory
National Provider DirectoryLocations
4551 Glencoe Ave
Ste 200
Marina del Rey, CA 90292
Phone (310) 822-0202
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Marina del Rey, CA
- NPI 1487901682
-
- General Practice Dentistry
- Ventura, CA
- NPI 1386429967
-
- General Practice Dentistry
- Marina del Rey, CA
- NPI 1659400307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1093528416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 GLENCOE AVE STE 200",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927927",
"telephone_number": "310-822-0202",
"fax_number": "310-823-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 GLENCOE AVE STE 200",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927927",
"telephone_number": "310-822-0202",
"fax_number": "310-823-5051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABA DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "DAISY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "310-822-0202"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYOE 1 NPI",
"identifier": "1487901682",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SmileOn Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.