Active NPI
Kaivan Kiai DDS Inc
Doing business as Encino Dental Esthetics
- General Practice Dentistry
- Encino, CA
National Provider Identifier
1871796219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47492
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Encino, CA
- NPI 1689857039
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.