Active NPI
K. Javid DDS & M Nadi DDS Inc
- General Practice Dentistry
- San Pedro, CA
National Provider Identifier
1720539042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kayvon Javid, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Lomita, CA
- NPI 1073697348
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.