Javidan Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38303 Issued in CA

Legal business name

JAVIDAN DENTISTRY

Practice address

9420 Mira Mesa Blvd Ste G
San Diego, CA 92126-4848

Phone

(858) 271-0600

Fax

(858) 271-0809

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Rhea Mendoza

Title

Dental Assistant/Office Manager

Phone

(858) 271-0600

Specialties & licenses 1

Addresses

Practitioners 2

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

• Mitra Javidan Mazdyasni, DMD

  • Dentist
  • San Diego, CA
  • NPI 1891834941
  NPD (past)
• Shalini S Thatte, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1689918856
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1801343322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 MIRA MESA BLVD G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "858-271-0600",
            "fax_number": "858-271-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 MIRA MESA BLVD STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264848",
            "telephone_number": "858-271-0600",
            "fax_number": "858-271-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIDAN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "DENTAL ASSISTANT/OFFICE MANAGER",
        "authorized_official_telephone_number": "858-271-0600"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Tuba Javaherpour
• Nazafarin Javdan, D.D.S.
• Yasaman Javdan
• Khurram Javed
• Kinaan Faridun Javed, DO
• Mitra Javidan Mazdyasni, DMD
• Patrick Javidan, D.C.
• Susan J. Javidan, P.T.
• Babak Javidi, DMD
• Olaff Javier Meza

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.