M. Nedjat-Haiem Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

M. NEDJAT-HAIEM DENTAL CORPORATION

Doing business as

Kidzy Dental and Orthodontix

Practice address

763 Town Center Dr
Oxnard, CA 93036-1168

Phone

(310) 666-9024

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Michael Nedjat-Haiem, DDS

Title

President

Phone

(310) 666-9024

Specialties & licenses 3

Addresses

Other names 1

• Kidzy Dental and Orthodontix Doing business as

Locations

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1902629090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N SWALL DR UNIT 504",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902114725",
            "telephone_number": "310-666-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 TOWN CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361168",
            "telephone_number": "310-666-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. NEDJAT-HAIEM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "NEDJAT-HAIEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-9024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidzy Dental and Orthodontix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn A Lynch, PA-C
• John Lyon
• Catherine Lyons, MS, PPS
• Harvey David Lyons, M.D.
• Morgan Elizabeth Lyons, D.O.
• Lauren Wai Ying Ma
• Rajinder Maan, M.D.
• Trisha Mercado Mabaet, OTR/L
• Walter Mabalot, PTA
• Rosalynn Macalanda, LVN, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.