NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc.

Doing business as Smile Wide

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Torrance, CA
National Provider Identifier
1225428717
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BADII LEE DENTAL CORPORATION, INC.
Doing business as
Smile Wide
Practice address
1001 W Carson St Ste H
Torrance, CA 90502-2051
Phone
(310) 618-1522
Fax
(562) 618-9272
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Kiavash Kevin Badii, DDS, MDS
Title
President
Phone
(949) 596-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X CA Primary

Addresses

Primary practice location

1001 W Carson St Ste H
Torrance, CA 90502-2051

Mailing address

1920 Main St Ste 970
Irvine, CA 92614-8275
Phone (949) 596-8100

Other names 1

  • Smile Wide Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1920 Main St
Ste 970
Irvine, CA 92614
Phone (949) 596-8100

1001 W Carson St
Ste H
Torrance, CA 90502
Phone (310) 618-1522

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1225428717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST STE 970",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148275",
            "telephone_number": "949-596-8100",
            "fax_number": "562-424-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST STE H",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022051",
            "telephone_number": "310-618-1522",
            "fax_number": "562-618-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "BADII",
        "authorized_official_first_name": "KIAVASH",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-596-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Wide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.