Organization Active NPI

Kenny Abedini DDS Inc.

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1679941397
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KENNY ABEDINI DDS INC.
Practice address
3816 Woodruff Ave Ste 104
Long Beach, CA 90808-2145
Phone
(562) 425-0545
Fax
(562) 425-8065
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mr. Kenny K. Abedini, DDS
Title
Owner/Dr.
Phone
(949) 922-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3816 Woodruff Ave Ste 104
Long Beach, CA 90808-2145

Mailing address

3816 Woodruff Ave Ste 104
Long Beach, CA 90808-2145
Phone (562) 425-0545

National Provider Directory

National Provider Directory

Locations

3816 Woodruff Ave
Ste 104
Long Beach, CA 90808
Phone (562) 377-0389

Practitioners & affiliated clinicians

Practitioners 2

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": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1679941397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-425-0545",
            "fax_number": "562-425-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-425-0545",
            "fax_number": "562-425-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY ABEDINI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "ABEDINI",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "949-922-0722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.