Individual provider Active NPI

Rupal Javia, D.D.S.

  • General Practice Dentistry
  • Westlake Village, CA
National Provider Identifier
1285890111
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57354 Issued in CA
Practice address
4685 Lakeview Canyon Rd
Westlake Village, CA 91361-4028
Phone
(818) 879-7480
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57354 CA Primary

Addresses

Primary practice location

4685 Lakeview Canyon Rd
Westlake Village, CA 91361-4028

Mailing address

2502 Sandycreek Dr
Westlake Village, CA 91361-5545
Phone (818) 294-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301002021 CA Order and Referring Only - DentistPractitioner - Dentist 7012212954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57354CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rupal Javia DDS a Professional Dental Corporation Current Accepting new patients

Locations

4685 Lakeview Canyon Rd
Westlake Village, CA 91361
Phone (818) 879-7480

Interoperability endpoints

  • Direct secure messaging: rjavia@direct.westerndental.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1285890111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 SANDYCREEK DR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615545",
            "telephone_number": "818-294-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 LAKEVIEW CANYON RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "818-879-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIA",
        "first_name": "RUPAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.