Active NPI
Jean-Paul W Davis, DDS, MSC
- Oral and Maxillofacial Surgery (Dentist)
- Tarzana, CA
National Provider Identifier
1376746024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 54578
- Practice address
- 18399 Ventura Blvd
Suite #251
Tarzana, CA 91356-4233 - Phone
- (818) 345-5286
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 54578 | CA | Primary |
Addresses
Primary practice location
18399 Ventura Blvd
Suite #251
Tarzana, CA 91356-4233
Mailing address
20524 Ventura Blvd Apt 108
Woodland Hills, CA 91364-6218
Phone (818) 598-0718
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54578 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexi Eyvazi, D.D.S., Inc. | Past | Accepting new patients | |
| Anoosheh Shahkarami DDS Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Tarzana, CA
- NPI 1902468432
-
- Dentist
- Tarzana, CA
- NPI 1801186804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376746024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20524 VENTURA BLVD APT 108",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913646218",
"telephone_number": "818-598-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE #251",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-345-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEAN-PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS, MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "54578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, 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.