NPIMap

Organization Active NPI

Jabaiti Dental Corporation

  • Dental Clinic/Center
  • Ventura, CA
National Provider Identifier
1851930655
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JABAITI DENTAL CORPORATION
Practice address
1708 S Victoria Ave Ste B
Ventura, CA 93003-6595
Phone
(805) 941-1001
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Dr. Tariq Jabaiti, DDSNPI 1932693199
Title
President/Dentist
Phone
(805) 941-1001

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1708 S Victoria Ave Ste B
Ventura, CA 93003-6595

Mailing address

1708 S Victoria Ave Ste B
Ventura, CA 93003-6595
Phone (805) 941-1001

Other names 1

  • Avra Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1708 S Victoria Ave
Ste B
Ventura, CA 93003
Phone (805) 941-1001

Practitioners & affiliated clinicians

Practitioners 3

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": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1851930655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S VICTORIA AVE STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036595",
            "telephone_number": "805-941-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S VICTORIA AVE STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036595",
            "telephone_number": "805-941-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABAITI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "JABAITI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "805-941-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avra Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.