NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc

Doing business as Smile Wide

  • Pediatric Dentistry
  • Santa Ana, CA
National Provider Identifier
1912268939
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BADII LEE DENTAL CORPORATION, INC
Doing business as
Smile Wide
Practice address
1109 W 17TH St
Santa Ana, CA 92706-3505
Phone
(714) 835-2383
Fax
(714) 835-3917
NPI assigned
Jun 6, 2012
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Kiavash Kevin Badii, DDS MDS
Title
Director/Owner
Phone
(949) 548-5588

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

1109 W 17TH St
Santa Ana, CA 92706-3505

Mailing address

1109 W 17TH St
Santa Ana, CA 92706-3505
Phone (714) 835-2383

Other names 1

  • SMILE WIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1912268939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063505",
            "telephone_number": "714-835-2383",
            "fax_number": "714-835-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063505",
            "telephone_number": "714-835-2383",
            "fax_number": "714-835-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BADII",
        "authorized_official_first_name": "KIAVASH",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "949-548-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE WIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.