Organization Active NPI

E Nikjoo DDS Inc

  • Dental Clinic/Center
  • Palmdale, CA
National Provider Identifier
1134845530
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
E NIKJOO DDS INC
Practice address
3025 E Avenue S Ste A2
Palmdale, CA 93550-2414
Phone
(661) 265-7694
Fax
(661) 266-0861
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Ebi D Nikjoo, DDS
Title
Dentist
Phone
(661) 265-7694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3025 E Avenue S Ste A2
Palmdale, CA 93550-2414

Mailing address

3025 E Avenue S Ste A2
Palmdale, CA 93550-2414
Phone (661) 265-7694

Other names 1

  • E NIKJOO DDS INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PALMDALE Direct

National Provider Directory

National Provider Directory
Tax ID family
E Nikjoo DDS Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3025 E Avenue S
Ste A2
Palmdale, CA 93550
Phone (562) 904-4800

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1134845530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 E AVENUE S STE A2",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502414",
            "telephone_number": "661-265-7694",
            "fax_number": "661-266-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 E AVENUE S STE A2",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502414",
            "telephone_number": "661-265-7694",
            "fax_number": "661-266-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E NIKJOO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EBI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "661-265-7694",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PALMDALE",
            "affiliation": "N",
            "endpointDescription": "PALMDALE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3025 E Avenue S Ste A2",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935502414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "E NIKJOO DDS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.