David Javdan, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

44489 Issued in CA

Legal business name

DAVID JAVDAN, D.D.S., INC.

Doing business as

Beverly Hills Prestige Dental Group

Practice address

1125 S. Beverly Drive
Suite 400
Los Angeles, CA 90035

Phone

(310) 286-7447

Fax

(310) 286-7887

NPI assigned

Sep 23, 2009

Last updated

Mar 7, 2017By 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

Dr. David Javdan, D.D.S.NPI 1073929725

Title

President/Owner Dentist

Phone

(310) 286-7447

Specialties & licenses 1

Addresses

Other names 1

• Beverly Hills Prestige Dental Group Doing business as

Locations

Practitioners 1

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.

• David Javdan, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1073929725
  Authorized official Same address or phone

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1437483443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S. BEVERLY DRIVE",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-286-7447",
            "fax_number": "310-286-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S. BEVERLY DRIVE",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-286-7447",
            "fax_number": "310-286-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JAVDAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "JAVDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER DENTIST",
        "authorized_official_telephone_number": "310-286-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Prestige Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.