NPIMap

Organization Active NPI

Sahawneh Dental Corporation

Doing business as Bright Now Dental la-Pico Vicente

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1982941555
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55643 Issued in CA
Legal business name
SAHAWNEH DENTAL CORPORATION
Doing business as
Bright Now Dental la-Pico Vicente
Practice address
4550 W Pico Blvd
C319
Los Angeles, CA 90019-4232
Phone
(323) 602-0590
Fax
(323) 933-3255
NPI assigned
Jan 15, 2013
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Dr. Shorouq Sahawneh, DDS
Title
President
Phone
(714) 578-6358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55643 CA Primary
General Practice Dentistry 1223G0001X NU

Addresses

Primary practice location

4550 W Pico Blvd
C319
Los Angeles, CA 90019-4232

Mailing address

4550 W Pico Blvd
C319
Los Angeles, CA 90019-4232
Phone (323) 602-0590

Other names 1

  • BRIGHT NOW DENTAL LA-PICO VICENTE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fratt Dental Corporation132 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

4550 W Pico Blvd
#C319
Los Angeles, CA 90019
Phone (323) 602-0590

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1982941555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W PICO BLVD",
            "address_2": "C319",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194232",
            "telephone_number": "323-602-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W PICO BLVD",
            "address_2": "C319",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194232",
            "telephone_number": "323-602-0590",
            "fax_number": "323-933-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWNEH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55643",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT NOW DENTAL LA-PICO VICENTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.