NPIMap

Organization Active NPI

Joven Professional Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1780811885
Registry record updated Dec 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45884 Issued in CA
Legal business name
JOVEN PROFESSIONAL DENTAL CORP
Practice address
2251 Colorado Blvd
Los Angeles, CA 90041-1156
Phone
(323) 259-3118
Fax
(323) 259-9983
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2013

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

Authorized official

Name
Dr. Pierre D Joven, DDSNPI 1528130986
Title
President
Phone
(323) 259-3118

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 45884 CA Primary

Addresses

Primary practice location

2251 Colorado Blvd
Los Angeles, CA 90041-1156

Mailing address

2251 Colorado Blvd
Los Angeles, CA 90041-1156
Phone (323) 259-3118

Other identifiers 1

IdentifierTypeStateIssuer
G-93044-02OtherCADENTI-CAL OFFICE ID

Other names 1

  • Dr. Joven's Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

2251 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 259-3118

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388188800000",
    "number": "1780811885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411156",
            "telephone_number": "323-259-3118",
            "fax_number": "323-259-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411156",
            "telephone_number": "323-259-3118",
            "fax_number": "323-259-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOVEN PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-12-28",
        "status": "A",
        "authorized_official_last_name": "JOVEN",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-259-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL OFFICE ID",
            "identifier": "G-93044-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Joven's Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2013; 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.