NPIMap

Organization Active NPI

Sahawneh Dental Corporation

Doing business as Bright Now Dental Azuza

  • Dentist
  • Azusa, CA
National Provider Identifier
1881078913
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55643 Issued in CA
Legal business name
SAHAWNEH DENTAL CORPORATION
Doing business as
Bright Now Dental Azuza
Practice address
810 E Alosta Ave
Azusa, CA 91702-2706
Phone
(626) 804-2144
Fax
(626) 812-9148
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SAHAWNEH DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Dr. Shorouq Sahawneh, DDS
Title
Owner Doctor
Phone
(714) 578-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55643 CA Primary

Addresses

Primary practice location

810 E Alosta Ave
Azusa, CA 91702-2706

Mailing address

100 Spectrum Center Dr
Ste 100
Irvine, CA 92618-4962
Phone (714) 578-6358

Other names 1

  • Bright Now Dental Azuza Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nurani Mitchell Kim PC132 organizations share this tax ID, including this one
Part of
Nurani Mitchell Kim PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1881078913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR",
            "address_2": "STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184962",
            "telephone_number": "714-578-6358",
            "fax_number": "949-861-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022706",
            "telephone_number": "626-804-2144",
            "fax_number": "626-812-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWNEH DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHAWNEH DENTAL CORPORATION",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental Azuza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.