Organization Active NPI

Dr Shenavad DDS,a Dental Corp

Doing business as Brighter Smiles

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1144471301
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48377 Issued in CA
Legal business name
DR SHENAVAD DDS,A DENTAL CORP
Doing business as
Brighter Smiles
Practice address
20 City Blvd W
Suite 504
Orange, CA 92868-3100
Phone
(714) 456-0005
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Ramin Shenavad
Title
Owner
Phone
(714) 456-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 48377 CA Primary

Addresses

Primary practice location

20 City Blvd W
Suite 504
Orange, CA 92868-3100

Mailing address

20 City Blvd W
Suite 504
Orange, CA 92868-3100
Phone (714) 456-0005

Other names 1

  • Brighter Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

20 City Blvd W
Ste 504
Orange, CA 92868
Phone (714) 456-0005

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1144471301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CITY BLVD W",
            "address_2": "SUITE 504",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683100",
            "telephone_number": "714-456-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CITY BLVD W",
            "address_2": "SUITE 504",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683100",
            "telephone_number": "714-456-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHENAVAD DDS,A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SHENAVAD",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-456-0005",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighter Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.