Nina N. Madavi, D.D.S., Professional Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42066 Issued in CA

Legal business name

NINA N. MADAVI, D.D.S., PROFESSIONAL DENTAL CORP.

Practice address

1919 State St Ste 308
Santa Barbara, CA 93101-8447

Phone

(805) 563-2101

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nina N. Madavi, D.D.SNPI 1740627454

Title

Principal

Phone

(805) 563-2101

Specialties & licenses 1

Addresses

Locations

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.

• Nina Madavi, D.D.S.

  • Dentist
  • Santa Barbara, CA
  • NPI 1740627454
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225177066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 308",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018447",
            "telephone_number": "805-563-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 308",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018447",
            "telephone_number": "805-563-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA N. MADAVI, D.D.S., PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADAVI",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "805-563-2101",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan P Nielsen
• Kaitlyn J Nielson, MD
• Madison Estelle Niessen
• Gabriela Williamson Nighan
• Marjorie Wasem Nilson, FNP
• David Allen Nipper, D.D.S.
• Michelle Ann Niro
• Kenneth A Nisbet, PA-C
• Wendy Linn Nishikawa
• Nandini R Nittur, MD

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.