Javaheri Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAVAHERI DENTAL CORPORATION

Doing business as

Main Street Dental

Practice address

1830 Hacienda Dr Ste 1
Vista, CA 92081-4544

Phone

(760) 295-9870

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Daniel M Javaheri, DDSNPI 1861502346

Title

President

Phone

(760) 295-9870

Specialties & licenses 1

Addresses

Other names 1

• Main Street Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Javaheri, DDS

  • General Practice Dentistry
  • Vista, CA
  • NPI 1861502346
  NPD Authorized official
• Jelena Matijevic, DMD

  • Dentist
  • Vista, CA
  • NPI 1487327508
  NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1982399283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HACIENDA DR STE 1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814544",
            "telephone_number": "760-295-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HACIENDA DR STE 1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814544",
            "telephone_number": "760-295-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAHERI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "JAVAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-295-9870",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amreeta Jammu, DO
• Hillel Kinan Janai, M.D.
• William Robert Janz, PA
• Shannon Lynn Jardina, D.M.D.
• Amanda Caulder Jaskiewicz
• Daniel Javaheri, DDS
• Jeffey O Leach, M.D. Inc
• Jeffrey D Yusim MD
• Jerrold a Hennes DDS MSD PC
• Jan M. Jewell, M.A., OTR

• Dental Clinic/Center in Vista, CA
• Providers in Vista, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.