Nader Nathan Nagavi, DDS, MDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

103569 Issued in CA

Practice address

12285 Scripps Poway Pkwy Ste 104
Poway, CA 92064-6149

Phone

(858) 536-8111

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John C Nosti Dental Corporation

  • General Practice Dentistry
  • Carlsbad, CA
  • NPI 1366847782
  NPD (past)
• Rani Shina, D.D.S., Inc

  • General Practice Dentistry
  • Powaty, CA
  • NPI 1730897695
  NPD (past)
• LT Dental PLLC

  • Dental Clinic/Center
  • Farmers Branch, TX
  • NPI 1275092132
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1730149840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 SELMA LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346342",
            "telephone_number": "614-288-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 SCRIPPS POWAY PKWY STE 104",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646149",
            "telephone_number": "858-536-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 S Main St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032910",
            "country_code": "US",
            "telephone_number": "901-527-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGAVI",
        "first_name": "NADER",
        "middle_name": "NATHAN",
        "credential": "DDS, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "22541",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "103569",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "11654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Murphy
• Lori Murphy, LPCC
• Madalynne Murray
• Connor Myrick-Cox
• Ronley Nabua
• Rohini Naidoo, PHARMACIST
• Emily Naitoh
• Sadaf Najand, M.D.
• Anapatricia Najera-Higareda, MSN, APRN, FNP-BC
• Olivia Najjar

• Periodontics in Poway, CA
• Providers in Poway, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.