Organization Active NPI

Kaivan Kiai DDS Inc

Doing business as Encino Dental Esthetics

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1871796219
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47492 Issued in CA
Legal business name
KAIVAN KIAI DDS INC
Doing business as
Encino Dental Esthetics
Practice address
17525 Ventura Blvd Ste 100
Encino, CA 91316-5100
Phone
(818) 784-7832
Fax
(818) 784-4789
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Miss Brandi Higa
Title
Office Manager
Phone
(818) 784-7832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47492 CA Primary

Addresses

Primary practice location

17525 Ventura Blvd Ste 100
Encino, CA 91316-5100

Mailing address

17525 Ventura Blvd Ste 100
Encino, CA 91316-5100
Phone (818) 784-7832

Other names 1

  • Encino Dental Esthetics Doing business as

National Provider Directory

National Provider Directory

Locations

17525 Ventura Blvd
Ste 100
Encino, CA 91316
Phone (818) 784-7832

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1871796219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165100",
            "telephone_number": "818-784-7832",
            "fax_number": "818-784-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165100",
            "telephone_number": "818-784-7832",
            "fax_number": "818-784-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIVAN KIAI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "HIGA",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-784-7832",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Dental Esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.