NPIMap

Organization Active NPI

Cohen, Manavi & Pakravan Inc.

Doing business as Peak Dental

  • Dentist
  • Tacoma, WA
National Provider Identifier
1942554688
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COHEN, MANAVI & PAKRAVAN INC.
Doing business as
Peak Dental
Practice address
3602 6TH Ave
Suite 104
Tacoma, WA 98406-5450
Phone
(310) 820-9933
Fax
(310) 820-0408
NPI assigned
Nov 2, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Farid Pakravan, DDS
Title
Owner
Phone
(310) 820-9933

Specialties & licenses 1

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

Addresses

Primary practice location

3602 6TH Ave
Suite 104
Tacoma, WA 98406-5450

Mailing address

3602 6TH Ave
Suite 104
Tacoma, WA 98406-5450
Phone (310) 820-9933

Other names 1

  • PEAK DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cohen Manavi Pakravan Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3602 6th Ave
Ste 104
Tacoma, WA 98406
Phone (253) 271-9734

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1942554688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 6TH AVE",
            "address_2": "SUITE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065450",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 6TH AVE",
            "address_2": "SUITE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065450",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN, MANAVI & PAKRAVAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "PAKRAVAN",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-820-9933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAK DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.