NPIMap

Organization Active NPI

Design Dental Spa

  • Dentist
  • Marina del Rey, CA
National Provider Identifier
1548635444
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37892 Issued in CA
Legal business name
DESIGN DENTAL SPA
Practice address
3206 Washington Blvd
Marina del Rey, CA 90292-5553
Phone
(310) 822-3833
Fax
(310) 822-9623
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Ramin D Partovy, DDSNPI 1184821449
Title
Dentist/Owner
Phone
(310) 822-3833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 37892 CA Primary

Addresses

Primary practice location

3206 Washington Blvd
Marina del Rey, CA 90292-5553

Mailing address

3206 Washington Blvd
Marina del Rey, CA 90292-5553
Phone (310) 822-3833

Other names 1

  • Encino Dental Excellence Other name

National Provider Directory

National Provider Directory
Tax ID family
Design Dental Spa2 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.

Locations

3206 Washington Blvd
Marina del Rey, CA 90292
Phone (310) 822-3833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1548635444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925553",
            "telephone_number": "310-822-3833",
            "fax_number": "310-822-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925553",
            "telephone_number": "310-822-3833",
            "fax_number": "310-822-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGN DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "PARTOVY",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-822-3833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Dental Excellence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.