Organization Active NPI

Saba Dental Group

  • General Practice Dentistry
  • Marina del Rey, CA
National Provider Identifier
1093528416
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jan 29, 2025

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1487901682OtherCATYOE 1 NPI

Other names 1

  • SmileOn Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.