Organization Active NPI

G. Iravani. DDS. Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Fernando, CA
National Provider Identifier
1831688118
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63471 Issued in CA
Legal business name
G. IRAVANI. DDS. INC
Practice address
405 N Maclay Ave
San Fernando, CA 91340-2445
Phone
(818) 493-9159
NPI assigned
May 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Gowhar Iravani, DDSNPI 1396151387
Title
Orthodontist
Phone
(818) 493-9159

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 63471 CA Primary

Addresses

Primary practice location

405 N Maclay Ave
San Fernando, CA 91340-2445

Mailing address

405 N Maclay Ave
San Fernando, CA 91340-2445

National Provider Directory

National Provider Directory

Locations

405 N Maclay Ave
San Fernando, CA 91340
Phone (818) 493-9159

Practitioners & affiliated clinicians

Practitioners 1

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": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1831688118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402445",
            "telephone_number": "818-493-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. IRAVANI. DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "IRAVANI",
        "authorized_official_first_name": "GOWHAR",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "818-493-9159",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.