Ebi Nikjoo Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EBI NIKJOO DENTAL CORP

Practice address

13549 Roscoe Blvd
Panorama City, CA 91402-5500

Phone

(818) 782-5501

NPI assigned

Sep 2, 2015

Last updated

Dec 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edi Donovan Nikjoo

Title

Ceo

Phone

(818) 782-5501

Specialties & licenses 1

Addresses

Tax ID family

Ebi Nikjoo Dental Corp2 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.

• Ebi Nikjoo Dental Corp

  • Dental Clinic/Center
  • Canoga Park, CA
  • NPI 1508583659
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olga Patricia Maya, D.D.S.

  • General Practice Dentistry
  • Panorama City, CA
  • NPI 1780890699
  NPD (past)
• Pedrito Martin Morales, D.M.D.

  • General Practice Dentistry
  • Panorama City, CA
  • NPI 1760694251
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1316315724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13549 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025500",
            "telephone_number": "818-782-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13549 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025500",
            "telephone_number": "818-782-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBI NIKJOO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EDI",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-782-5501"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry M Eakins, PT
• Noah Jackson Earland, MD, PHD
• East Valley Adult Day Health Care Center,Inc
• East Valley Panorama Inc
• East Valley Panorama, Inc. (Panorama Health Care Center)
• Anthony Wegbo Echendu, MD
• Edna Home Health, Inc.
• Edwin Mirzabeigi MD P.C.
• Effective Hospice Care
• Brent Egemo, NP

• Dental Clinic/Center in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.