Active NPI
Creative Dental Arts, Inc.
- Dentist
- Covina, CA
National Provider Identifier
1740494772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40171
- Legal business name
- CREATIVE DENTAL ARTS, INC.
- Practice address
- 520 W Badillo St
Covina, CA 91722-3762 - Phone
- (626) 331-6819
- NPI assigned
- May 9, 2007
- 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. Mitra Nejat-Bina, D.D.S.
- Title
- President
- Phone
- (626) 331-6819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40171 | CA | Primary |
Addresses
Primary practice location
520 W Badillo St
Covina, CA 91722-3762
Mailing address
520 W Badillo St
Covina, CA 91722-3762
Phone (626) 331-6819
National Provider Directory
National Provider DirectoryLocations
520 W Badillo St
Covina, CA 91722
Phone (626) 331-6819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1740494772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-331-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-331-6819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE DENTAL ARTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "NEJAT-BINA",
"authorized_official_first_name": "MITRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-331-6819",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "40171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.