Organization Active NPI

Javid and Nadi Dental Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lomita, CA
National Provider Identifier
1629413547
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
JAVID AND NADI DENTAL CORPORATION
Practice address
2104 Pacific Coast Hwy
Lomita, CA 90717-2584
Phone
(310) 539-1111
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Kayvon Hakimi Javid, DDS
Title
President
Phone
(310) 539-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48617 CA
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

2104 Pacific Coast Hwy
Lomita, CA 90717-2584

Mailing address

2104 Pacific Coast Hwy
Lomita, CA 90717-2584
Phone (310) 539-1111

National Provider Directory

National Provider Directory

Locations

2104 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 539-1111

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": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1629413547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172584",
            "telephone_number": "310-539-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172584",
            "telephone_number": "310-539-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVID AND NADI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "JAVID",
        "authorized_official_first_name": "KAYVON",
        "authorized_official_middle_name": "HAKIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-539-1111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48617",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.