Organization Active NPI

Eda Methasani DDS Dental Corp

  • Dentist
  • Culver City, CA
National Provider Identifier
1891337762
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EDA METHASANI DDS DENTAL CORP
Practice address
4740 Inglewood Blvd
Culver City, CA 90230-5824
Phone
(310) 313-1063
Fax
(310) 398-5681
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Authorized official

Name
Dr. Eda Jokic, DDS
Title
President
Phone
(310) 313-1063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4740 Inglewood Blvd
Culver City, CA 90230-5824

Mailing address

4740 Inglewood Blvd
Culver City, CA 90230-5824
Phone (310) 313-1063

National Provider Directory

National Provider Directory

Locations

4740 Inglewood Blvd
Culver City, CA 90230
Phone (310) 313-1063

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572048000000",
    "number": "1891337762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 INGLEWOOD BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305824",
            "telephone_number": "310-313-1063",
            "fax_number": "310-398-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 INGLEWOOD BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305824",
            "telephone_number": "310-313-1063",
            "fax_number": "310-398-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDA METHASANI DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-26",
        "status": "A",
        "authorized_official_last_name": "JOKIC",
        "authorized_official_first_name": "EDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-313-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.