NPIMap

Organization Active NPI

Manavi Dental Corporation

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1225252877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38558 Issued in CA
Legal business name
MANAVI DENTAL CORPORATION
Practice address
8381 La Palma Ave
Suite B and C
Buena Park, CA 90620-3271
Phone
(714) 228-9990
Fax
(714) 228-9741
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farhad Manavi
Title
Owner
Phone
(714) 228-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38558 CA Primary

Addresses

Primary practice location

8381 La Palma Ave
Suite B and C
Buena Park, CA 90620-3271

Mailing address

8381 La Palma Ave
Suite B and C
Buena Park, CA 90620-3271
Phone (714) 228-9990

Other names 1

  • WEST COAST DENTALGROUP OF BUENA PARK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manavi Dental Corporation4 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.

Locations

8381 La Palma Ave
Ste B
Buena Park, CA 90620
Phone (714) 228-9990

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225252877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 LA PALMA AVE",
            "address_2": "SUITE B AND C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203271",
            "telephone_number": "714-228-9990",
            "fax_number": "714-228-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 LA PALMA AVE",
            "address_2": "SUITE B AND C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203271",
            "telephone_number": "714-228-9990",
            "fax_number": "714-228-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAVI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-228-9990"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTALGROUP OF BUENA PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • 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.