Daniel Javaheri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52871 Issued in CA

Practice address

35 Main St
#C-130
Vista, CA 92083-5858

Phone

(760) 295-9870

Fax

(760) 295-9872

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Javaheri Dental Corporation

  dba Main Street Dental

  • Dental Clinic/Center
  • Vista, CA
  • NPI 1982399283
  NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1861502346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HACIENDA DR STE 1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814544",
            "telephone_number": "760-295-9870",
            "fax_number": "760-295-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MAIN ST",
            "address_2": "#C-130",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835858",
            "telephone_number": "760-295-9870",
            "fax_number": "760-295-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERI",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52871",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@msdsmiles.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Main St",
            "address_2": "#C-130",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920835858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillel Kinan Janai, M.D.
• William Robert Janz, PA
• Shannon Lynn Jardina, D.M.D.
• Amanda Caulder Jaskiewicz
• Javaheri Dental Corporation (Main Street Dental)
• Jeffey O Leach, M.D. Inc
• Jeffrey D Yusim MD
• Jerrold a Hennes DDS MSD PC (Shadowridge and Pomerado Orthodontics)
• Jan M. Jewell, M.A., OTR
• Jill D Chapman Chiropractic Apc

• General Practice Dentistry in Vista, CA
• Providers in Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.