Individual provider Active NPI

Pierre D. Joven, D. D. S

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1528130986
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45884 Issued in CA
Practice address
2251 Colorado Blvd
Los Angeles, CA 90041-1156
Phone
(323) 259-3118
Fax
(323) 259-9983
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45884 CA Primary

Addresses

Primary practice location

2251 Colorado Blvd
Los Angeles, CA 90041-1156

Mailing address

2251 Colorado Blvd
Los Angeles, CA 90041-1156
Phone (323) 259-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304001625 CA Order and Referring Only - DentistPractitioner - Dentist 2163728924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45884CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joven Professional Dental Corp General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1528130986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411156",
            "telephone_number": "323-259-3118",
            "fax_number": "323-259-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411156",
            "telephone_number": "323-259-3118",
            "fax_number": "323-259-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVEN",
        "first_name": "PIERRE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D. D. S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.