Monrovia 858 LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONROVIA 858 LLC

Doing business as

Monrovia Gentle Dental Care

Practice address

858 W Foothill Blvd Ste C
Monrovia, CA 91016-1998

Phone

(818) 987-1771

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Louis Savery

Title

Practice Consutant

Phone

(818) 987-1771

Specialties & licenses 7

Addresses

Other names 1

• Monrovia Gentle Dental Care Doing business as

Tax ID family

Hakimi and Vatan Dental Professional 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.

• Hakimi and Vatan Dental Professional Corp

  • General Practice Dentistry
  • Monrovia, CA
  • NPI 1417792532
  NPD tax ID

Locations

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1447095690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 W FOOTHILL BLVD STE C",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161998",
            "telephone_number": "818-987-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 W FOOTHILL BLVD STE C",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161998",
            "telephone_number": "818-987-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROVIA 858 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "SAVERY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRACTICE CONSUTANT",
        "authorized_official_telephone_number": "818-987-1771"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monrovia Gentle Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revin Moniz
• Jisselle Monje
• Semaja Monroe-Green
• Deonte Monroe
• Nyla Monroe
• Monrovia Arcadia Ambulance Service Inc
• Monrovia Dialysis Facility Inc
• Monrovia Hearing Aid Center
• Monrovia Unified School District
• Alexis Monroy

• General Practice Dentistry in Monrovia, CA
• Providers in Monrovia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.