NPIMap

Organization Active NPI

Sahawneh Dental Corporation

Doing business as Brightnow Dental Laverne

  • Dentist
  • La Verne, CA
National Provider Identifier
1609132745
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55643 Issued in CA
Legal business name
SAHAWNEH DENTAL CORPORATION
Doing business as
Brightnow Dental Laverne
Practice address
2497 Foothill Blvd
Ste 3
La Verne, CA 91750-3066
Phone
(909) 451-0329
Fax
(909) 596-6026
NPI assigned
Apr 3, 2012
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Dr. Shorouq Sahawneh, DDS
Title
President
Phone
(714) 578-6358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55643 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

2497 Foothill Blvd
Ste 3
La Verne, CA 91750-3066

Mailing address

2497 Foothill Blvd
Ste 3
La Verne, CA 91750-3066
Phone (909) 451-0329

Other names 1

  • BRIGHTNOW DENTAL LAVERNE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sahawaneh Dental Corporaton132 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2497 Foothill Blvd
Ste 3
La Verne, CA 91750
Phone (909) 451-0329

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1609132745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 FOOTHILL BLVD",
            "address_2": "STE 3",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503066",
            "telephone_number": "909-451-0329",
            "fax_number": "909-596-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 FOOTHILL BLVD",
            "address_2": "STE 3",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503066",
            "telephone_number": "909-451-0329",
            "fax_number": "909-596-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWNEH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55643",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTNOW DENTAL LAVERNE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.