Organization Active NPI

Sabet Dental Corp.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1700065950
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38223 Issued in CA
Legal business name
SABET DENTAL CORP.
Practice address
5304 W Century Blvd
Los Angeles, CA 90045-5910
Phone
(310) 215-1455
Fax
(310) 215-1460
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Miss Dana Mitchell
Title
Business Manager
Phone
(310) 215-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38223 CA Primary

Addresses

Primary practice location

5304 W Century Blvd
Los Angeles, CA 90045-5910

Mailing address

5304 W Century Blvd
Los Angeles, CA 90045-5910
Phone (310) 215-1455

Other names 1

  • Airport Center Family Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

5304 W Century Blvd
Los Angeles, CA 90045
Phone (310) 215-1455

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1700065950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455910",
            "telephone_number": "310-215-1455",
            "fax_number": "310-215-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455910",
            "telephone_number": "310-215-1455",
            "fax_number": "310-215-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABET DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "310-215-1455",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airport Center Family Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.