Organization Active NPI

CJ Young Dental Corp.

Doing business as Dental Masters

  • Dentist
  • Pico Rivera, CA
National Provider Identifier
1376788836
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22433 Issued in CA
Legal business name
CJ YOUNG DENTAL CORP.
Doing business as
Dental Masters
Practice address
8982 Washington Blvd
Pico Rivera, CA 90660-3765
Phone
(562) 222-1551
Fax
(562) 222-1585
NPI assigned
Dec 11, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Mr. Shad Manavi
Title
Manager
Phone
(562) 803-7949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22433 CA Primary

Addresses

Primary practice location

8982 Washington Blvd
Pico Rivera, CA 90660-3765

Mailing address

8982 Washington Blvd
Pico Rivera, CA 90660-3765
Phone (562) 222-1551

Other names 1

  • Dental Masters Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1376788836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8982 WASHINGTON BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603765",
            "telephone_number": "562-222-1551",
            "fax_number": "562-222-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8982 WASHINGTON BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603765",
            "telephone_number": "562-222-1551",
            "fax_number": "562-222-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ YOUNG DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "SHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-803-7949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Masters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.