NPIMap

Organization Active NPI

E. Nikjoo DDS Inc.

Doing business as Smile Center of West Covina

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1205590015
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
E. NIKJOO DDS INC.
Doing business as
Smile Center of West Covina
Practice address
820 W Merced Ave
West Covina, CA 91790-4901
Phone
(626) 918-3388
Fax
(626) 918-3359
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Ebi Nikjoo, DDSNPI 1366603425
Title
Owner
Phone
(310) 666-5807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

820 W Merced Ave
West Covina, CA 91790-4901

Mailing address

820 W Merced Ave
West Covina, CA 91790-4901
Phone (626) 918-3388

Other names 1

  • Smile Center of West Covina Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1205590015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904901",
            "telephone_number": "626-918-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904901",
            "telephone_number": "626-918-3388",
            "fax_number": "626-918-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. NIKJOO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-666-5807",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Center of West Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.