NPIMap

Organization Active NPI

Najmeh Hannanvash DDS, Inc

  • Pediatric Dentistry
  • San Diego, CA
National Provider Identifier
1306384938
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
61324 Issued in CA
Legal business name
NAJMEH HANNANVASH DDS, INC
Practice address
5550 Carmel Mountain Rd Ste 200
San Diego, CA 92130-4861
Phone
(619) 630-4000
Fax
(619) 630-0241
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Najmeh Hannanvash, DDS, MSDNPI 1558652966
Title
Pediatric Dentist
Phone
(619) 630-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 61324 CA Primary

Addresses

Primary practice location

5550 Carmel Mountain Rd Ste 200
San Diego, CA 92130-4861

Mailing address

5550 Carmel Mountain Rd Ste 200
San Diego, CA 92130-4861
Phone (619) 630-4000

Other names 1

  • Little Star Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little Star Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1306384938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "619-630-4000",
            "fax_number": "619-630-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "619-630-4000",
            "fax_number": "619-630-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAJMEH HANNANVASH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "HANNANVASH",
        "authorized_official_first_name": "NAJMEH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "619-630-4000",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Star Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

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