Individual provider Active NPI

Pallavi Kavety, D.D.S

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1649583931
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LL609 Issued in MD
Practice address
2620 E Colorado Blvd
Pasadena, CA 91107-3746
Phone
(626) 600-7171
NPI assigned
Jul 15, 2010
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X LL609 MD Primary
Pediatric Dentistry 1223P0221X 59445 CA

Addresses

Primary practice location

2620 E Colorado Blvd
Pasadena, CA 91107-3746

Mailing address

2620 E Colorado Blvd
Pasadena, CA 91107-3746
Phone (626) 616-3977

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LL609MDMDGeneral Practice Dentistry
59445CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kavety Dental Corp. Pediatric Dentistry Current Accepting new patients

Locations

2620 E Colorado Blvd
Pasadena, CA 91107
Phone (626) 600-7171

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1649583931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073746",
            "telephone_number": "626-616-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073746",
            "telephone_number": "626-600-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVETY",
        "first_name": "PALLAVI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "LL609",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.