Skafri Dental Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SKAFRI DENTAL PROFESSIONAL CORPORATION

Practice address

2701 Firestone Blvd Ste G
South Gate, CA 90280-2778

Phone

(323) 564-6906

Fax

(323) 564-6908

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shayan KafriNPI 1740533074

Title

Ceo

Phone

(310) 801-4479

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shayan Kafri, DMD

  • Dentist
  • Boston, MA
  • NPI 1740533074
  NPD Authorized official
• Nitin Ochhavlal Mody, DDS

  • General Practice Dentistry
  • South Gate, CA
  • NPI 1497886550
  NPD (past)

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1184491706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 FIRESTONE BLVD STE G",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802778",
            "telephone_number": "323-564-6906",
            "fax_number": "323-564-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 FIRESTONE BLVD STE G",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802778",
            "telephone_number": "323-564-6906",
            "fax_number": "323-564-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAFRI DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "KAFRI",
        "authorized_official_first_name": "SHAYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-801-4479",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiva Shabnam MD
• Eleanor Antoinette Siazon, DDS
• Jeanette H Silva
• Mariana Silva, LPT
• Rudy Sinohui
• David H Skinner, DO
• Gloria Slavinski
• Adriana Solano
• Brenda Solares
• Joshua Soler, MD

• Dental Clinic/Center in South Gate, CA
• Providers in South Gate, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.