Individual provider Active NPI

Parvin Zekavat, DDS

  • Dentist
  • Palmdale, CA
National Provider Identifier
1316017957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
U6352 Issued in CA
Practice address
38745 N Tierra Subida
#150 Smile Care Family Dental Group
Palmdale, CA 93551
Phone
(661) 272-9091
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X U6352 CA Primary

Addresses

Primary practice location

38745 N Tierra Subida
#150 Smile Care Family Dental Group
Palmdale, CA 93551

Mailing address

25870 Webster Place
Stevenson Ranch, CA 91381
Phone (661) 254-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U6352CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316017957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25870 WEBSTER PLACE",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "91381",
            "telephone_number": "661-254-0544",
            "fax_number": "661-254-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38745 N TIERRA SUBIDA",
            "address_2": "#150 SMILE CARE FAMILY DENTAL GROUP",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-272-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKAVAT",
        "first_name": "PARVIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "U6352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.