Organization Active NPI

Nikjoo Dental Inc

  • Dental Clinic/Center
  • La Puente, CA
National Provider Identifier
1619449162
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NIKJOO DENTAL INC
Practice address
14285 Amar Rd
La Puente, CA 91746-2154
Phone
(626) 917-9308
NPI assigned
Dec 21, 2018
Organization subpart
Yes
Parent organization
NIKJOO DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Authorized official

Name
Ebi Nikjoo, DDS
Title
Doctor
Phone
(562) 463-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14285 Amar Rd
La Puente, CA 91746-2154

Mailing address

14285 Amar Rd
La Puente, CA 91746-2154

National Provider Directory

National Provider Directory
Tax ID family
Ebi Nikjoo DDS Inc3 organizations share this tax ID, including this one
Part of
Ebi Nikjoo DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1619449162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462154",
            "telephone_number": "626-917-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKJOO DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIKJOO DENTAL INC",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EBI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-463-3332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.