Organization Active NPI

Nvaid Tabibzadeh DDS a Dental Corp

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1700104734
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51140 Issued in CA
Legal business name
NVAID TABIBZADEH DDS A DENTAL CORP
Practice address
14550 Haynes St Ste 102
Van Nuys, CA 91411-4108
Phone
(818) 780-7555
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Navid Tabibzadeh
Title
Ceo
Phone
(818) 780-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 51140 CA Primary

Addresses

Primary practice location

14550 Haynes St Ste 102
Van Nuys, CA 91411-4108

Mailing address

14550 Haynes St Ste 102
Van Nuys, CA 91411-4108
Phone (818) 780-7555

National Provider Directory

National Provider Directory
Tax ID family
Nvaid Tabibzadeh DDS a Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14550 Haynes St
Ste 102
Van Nuys, CA 91411
Phone (818) 780-7555

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1700104734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114108",
            "telephone_number": "818-780-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114108",
            "telephone_number": "818-780-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVAID TABIBZADEH DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "TABIBZADEH",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-780-7555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.