Maryam Navab Dental Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

56465 Issued in CA

Legal business name

MARYAM NAVAB DENTAL CORPORATION

Doing business as

Easy Family Dental

Practice address

16661 Ventura Blvd
208
Encino, CA 91436-1914

Phone

(310) 940-9501

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Maryam Navab, DDSNPI 1417146929

Title

Dentist

Phone

(310) 940-9501

Specialties & licenses 1

Addresses

Other names 1

• Easy Family Dental 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.

• Maryam Navab, DDS

  • Dentist
  • Calabasas, CA
  • NPI 1417146929
  NPD (past) Authorized official

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1831461888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24632 PARK GRANADA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021411",
            "telephone_number": "818-646-0194",
            "fax_number": "818-646-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "208",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "310-940-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM NAVAB DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "NAVAB",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-940-9501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "56465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Jet Martinez
• Victor E Martinez
• Ani Martirosyan, BCBA
• Mary Ann Corpus Professional Dental Corporation (Mary Ann Corpus, DMD)
• Mary Demirjian, O.D., Inc.
• Maryam Seddigh Tonekaboni, MD, Inc.
• Avital Marzini
• Shabnam Mashinchi
• Ilana Mashke, LMT
• Maurice Roy Masliah, D.P.M.

• Exclusive Provider Organization in Encino, CA
• Providers in Encino, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.