Av Dental Wellness Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AV DENTAL WELLNESS GROUP

Practice address

151 E Avenue J Ste a
Lancaster, CA 93535-3520

Phone

(661) 942-1179

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By 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

Peyman Kafri

Title

Owner

Phone

(661) 942-1179

Specialties & licenses 1

Addresses

Tax ID family

Av Dental Wellness Group2 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.

• Peyman Kafri Dental Corporation

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1619452570
  NPD tax ID

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1548761182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E AVENUE J STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353520",
            "telephone_number": "661-942-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E AVENUE J STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353520",
            "telephone_number": "661-942-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV DENTAL WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "KAFRI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-942-1179"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.