Organization Active NPI

Khjavid and Mnadi Dental Corp

  • General Practice Dentistry
  • Corona del Mar, CA
National Provider Identifier
1689250706
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KHJAVID AND MNADI DENTAL CORP
Practice address
2121 E Coast Hwy Ste 140
Corona del Mar, CA 92625-1959
Phone
(949) 640-0222
Fax
(949) 640-0333
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Mrs. Katrina Saldivar
Title
Office Admin
Phone
(310) 561-7265

Specialties & licenses 1

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

Addresses

Primary practice location

2121 E Coast Hwy Ste 140
Corona del Mar, CA 92625-1959

Mailing address

2121 E Coast Hwy Ste 140
Corona del Mar, CA 92625-1959
Phone (949) 640-0222

National Provider Directory

National Provider Directory

Locations

2121 E Coast Hwy
Ste 140
Corona del Mar, CA 92625
Phone (949) 640-0222

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": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1689250706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 140",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251959",
            "telephone_number": "949-640-0222",
            "fax_number": "949-640-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 140",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251959",
            "telephone_number": "949-640-0222",
            "fax_number": "949-640-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHJAVID AND MNADI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "SALDIVAR",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "310-561-7265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.