NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc

Doing business as Smile Wide

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ladera Ranch, CA
National Provider Identifier
1275875197
Registry record updated Mar 30, 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
777 Corporate Dr
Suite 210
Ladera Ranch, CA 92694-2135
Phone
(949) 364-0590
NPI assigned
Mar 18, 2013
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Kiavash Badii, DDS
Title
Owner/Director
Phone
(949) 364-0590

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

777 Corporate Dr
Suite 210
Ladera Ranch, CA 92694-2135

Mailing address

777 Corporate Dr
Suite 210
Ladera Ranch, CA 92694-2135

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

777 Corporate Dr
Ste 210
Ladera Ranch, CA 92694
Phone (949) 272-8782

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1275875197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 210",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 210",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-364-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BADII",
        "authorized_official_first_name": "KIAVASH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "949-364-0590",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE WIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.