Organization Active NPI

Iravani Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Fernando, CA
National Provider Identifier
1316756778
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
IRAVANI DENTAL CORP
Practice address
405 N Maclay Ave Ste 101
San Fernando, CA 91340-2454
Phone
(818) 639-0340
NPI assigned
Dec 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Dr. Gowhar Iravani, DDS, MSNPI 1396151387
Title
Owner/Orthodontist
Phone
(818) 639-0340

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

405 N Maclay Ave Ste 101
San Fernando, CA 91340-2454

Mailing address

405 N Maclay Ave Ste 101
San Fernando, CA 91340-2454
Phone (818) 639-0340

National Provider Directory

National Provider Directory

Locations

405 N Maclay Ave
Ste 101
San Fernando, CA 91340
Phone (818) 639-0340

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": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1316756778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MACLAY AVE STE 101",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402454",
            "telephone_number": "818-639-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MACLAY AVE STE 101",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402454",
            "telephone_number": "818-639-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAVANI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "IRAVANI",
        "authorized_official_first_name": "GOWHAR",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "818-639-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.