Organization Active NPI

K. Javid DDS & M Nadi DDS Inc

  • General Practice Dentistry
  • San Pedro, CA
National Provider Identifier
1720539042
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48617 Issued in CA
Legal business name
K. JAVID DDS & M NADI DDS INC
Practice address
1622 S Gaffey St
Suite #102
San Pedro, CA 90731-4658
Phone
(310) 548-8128
Fax
(310) 539-4111
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Kayvon Javid, DDSNPI 1073697348
Title
Owner/DDS
Phone
(310) 548-8128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48617 CA Primary

Addresses

Primary practice location

1622 S Gaffey St
Suite #102
San Pedro, CA 90731-4658

Mailing address

1622 S Gaffey St
Suite #102
San Pedro, CA 90731-4658
Phone (310) 548-8128

Other names 1

  • DR. SMILE Doing business as

National Provider Directory

National Provider Directory

Locations

1622 S Gaffey St
Ste 102
San Pedro, CA 90731
Phone (310) 548-8128

Practitioners & affiliated clinicians

Practitioners 1

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": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1720539042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S GAFFEY ST",
            "address_2": "SUITE #102",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314658",
            "telephone_number": "310-548-8128",
            "fax_number": "310-539-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S GAFFEY ST",
            "address_2": "SUITE #102",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314658",
            "telephone_number": "310-548-8128",
            "fax_number": "310-539-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. JAVID DDS & M NADI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "JAVID",
        "authorized_official_first_name": "KAYVON",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "310-548-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. SMILE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.