Pacific Dental Inc

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

PACIFIC DENTAL INC

Practice address

75 Long CT
Thousand Oaks, CA 91360-6039

Phone

(805) 496-8887

Fax

(805) 494-0677

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Hamid Babaeian, CDT

Title

Owner

Phone

(818) 203-7000

Specialties & licenses 1

Addresses

Other names 1

• Pacific Dental Prosthetics Former legal business name

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1740898048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LONG CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606039",
            "telephone_number": "805-496-8887",
            "fax_number": "805-494-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LONG CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606039",
            "telephone_number": "805-496-8887",
            "fax_number": "805-494-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BABAEIAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-203-7000",
        "authorized_official_credential": "CDT"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Prosthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Trevor Owens, DO
• Pacific Ambulatory Anesthesia Medical Group
• Pacific Clinics
• Pacific Coast Surgical Group
• Pacific Coast Wellness
• Pacific Interventional Cardiology a Medical Corporation
• Pacific Medical Partners, Inc.
• Pacific Palms Internal Medicine, P.C.
• Pacific Surgical Suite, LLC
• Efren Padilla

• Dental Laboratory in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dental Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.