Jason Mirabile Dental Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

49147 Issued in CA

Legal business name

JASON MIRABILE DENTAL CORP

Practice address

1304 15TH St
305
Santa Monica, CA 90404-1809

Phone

(310) 319-9300

Fax

(310) 319-9320

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jason Mirabile, D.D.S.NPI 1740409820

Title

Dentist

Phone

(310) 319-9300

Specialties & licenses 1

Addresses

Other names 1

• IHateTheDentist.com Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Daniel Mirabile, D.D.S.

  • Dentist
  • Santa Monica, CA
  • NPI 1740409820
  NPD (past) Authorized official

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1780072199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "305",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-319-9300",
            "fax_number": "310-319-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "305",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-319-9300",
            "fax_number": "310-319-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON MIRABILE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "MIRABILE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-319-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "49147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHateTheDentist.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Janulaitis
• Savannah Jaouhari, LPCC, NCC
• Molly Jarchow, ND, LM
• Paulyne Therese Sajo Jardeleza
• Maninder Kaur Jasdhaul, MSN,RN,ACNS-BC
• Cristie Jauregi Cancio
• Abe Javaheri, PHARM.D.
• Khalid Kurbanali Javeri, M.D.
• Javid Ghandehari, MD, a California Medical Corporation
• John Francis Javier, P.T.

• Preferred Provider Organization in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.