Active NPI
Nabizadeh Dental Corporation
- General Practice Dentistry
- Winnetka, CA
National Provider Identifier
1811657539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NABIZADEH DENTAL CORPORATION
- Doing business as
- Winnetka Dental Practice/Brite Smile Dental
- Practice address
- 7111 Winnetka Ave Suite #3
Winnetka, CA 91306 - Phone
- (818) 676-0970
- Fax
- (818) 676-0614
- NPI assigned
- Dec 21, 2021
- Organization subpart
- Yes
- Parent organization
- NABIZADEH DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benny Nabizadeh
- Title
- President
- Phone
- (310) 435-7586
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
7111 Winnetka Ave Suite #3
Winnetka, CA 91306
Mailing address
5143 Chimeneas Ave
Tarzana, CA 91356
Phone (818) 676-0970
Other names 1
- Winnetka Dental Practice/Brite Smile Dental
National Provider Directory
National Provider Directory- Part of
- Nabizadeh Dental Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Dentistry
- Winnetka, CA
- NPI 1083844468
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1659564052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1811657539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5143 CHIMENEAS AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-676-0970",
"fax_number": "818-676-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 WINNETKA AVE SUITE #3",
"city": "WINNETKA",
"state": "CA",
"postal_code": "91306",
"telephone_number": "818-676-0970",
"fax_number": "818-676-0614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NABIZADEH DENTAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NABIZADEH DENTAL CORPORATION",
"enumeration_date": "2021-12-21",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "NABIZADEH",
"authorized_official_first_name": "BENNY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-435-7586"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Winnetka Dental Practice/Brite Smile Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.