Kaveh Ghods, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40196 Issued in TX

Practice address

30 N Madison Ave Unit 118
Pasadena, CA 91101-1794

Phone

(469) 939-4353

NPI assigned

Jul 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1487333845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18564 OUTER HWY 18 STE 301",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072340",
            "telephone_number": "469-939-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MADISON AVE UNIT 118",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011794",
            "telephone_number": "469-939-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODS",
        "first_name": "KAVEH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106399",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "40196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamonte Ghent
• Jonathan Gheorghin
• Abiyu Ghezahegn
• Carolynn Ghiloni
• Dima J Ghishan, M.S.W
• Dahlia Ghoneim
• Cynthia Ashley Gibbs
• Shelby Lynette Gibbs
• Wylma Joyce Gibbs, MFT
• Jasmine Gibson

• Pediatric Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.