K Javid D.D.S and M Nadi D.D.S Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

K JAVID D.D.S AND M NADI D.D.S INC

Doing business as

Dr. Smile San Pedro

Practice address

1622 S Gaffey St
Suite #102
San Pedro, CA 90731-4658

Phone

(310) 548-8128

Fax

(310) 548-8138

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kayvon Javid, DDS

Title

Owner/DDS

Phone

(310) 548-8128

Specialties & licenses 2

Addresses

Other names 1

• Dr. Smile San Pedro Doing business as

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1144771445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S GAFFEY ST",
            "address_2": "SUITE #102",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314658",
            "telephone_number": "310-548-8128",
            "fax_number": "310-548-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S GAFFEY ST",
            "address_2": "SUITE #102",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314658",
            "telephone_number": "310-548-8128",
            "fax_number": "310-548-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K JAVID D.D.S AND M NADI D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "JAVID",
        "authorized_official_first_name": "KAYVON",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "310-548-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48617",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Smile San Pedro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Smile San Pedro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jelena Uljarevic Jovic
• William Jow
• Taryn Alexandra Joyce
• Mark H. Joyner, M.D.
• William Jurewitz, M.D.
• K. Javid DDS & M Nadi DDS Inc
• Arthur G Kaiser, DDS
• Kalra Chiropractic Inc
• Kalra Chiropractic Inc
• Ajay Kalra, DC

• Oral and Maxillofacial Surgery Clinic/Center in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.