DR. SMILE SAN PEDRO
NPI 1144771445
Clinic/Center - Oral and Maxillofacial Surgery in San Pedro, CA

Active since October 21, 2016
1622 S GAFFEY ST, SUITE #102, SAN PEDRO, CA 90731(310) 548-8128(310) 548-8138 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2022, Oct 21, 2016 (2 updates tracked since 2016).

About Dr. Smile San Pedro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SMILE SAN PEDRO (NPI 1144771445) is a healthcare organization registered as an oral and maxillofacial surgery in San Pedro, California and active in the NPI registry since October 2016. The organization lists Kayvon Javid, Owner/dds, as its authorized official.

NPPES Registry Identity

NPI1144771445
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameK JAVID D.D.S AND M NADI D.D.S INC
Location Address1622 S GAFFEY ST, SUITE #102San Pedro, CA 90731-4658
Mailing Address1622 S Gaffey St, Suite #102San Pedro, CA 90731-4658 · (310) 548-8128 · Fax (310) 548-8138
Fax(310) 548-8138
Organization SubpartNo
Authorized OfficialKayvon JavidOwner/dds · (310) 548-8128
Enumeration DateOctober 21, 2016
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
NPI 1144771445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 48617 (CA)
1622 S GAFFEY ST, San Pedro, CA 90731

Other Names 1

Doing Business AsDr. Smile San Pedro

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1622 S GAFFEY ST, SUITE #102
SAN PEDRO, CA 90731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K Javid D.D.S And M Nadi D.D.S Inc's NPI number?

The NPI number for K Javid D.D.S And M Nadi D.D.S Inc is 1144771445. It was assigned to this organization in the NPPES registry on October 21, 2016. The provider is doing business as Dr. Smile San Pedro.

Where is K Javid D.D.S And M Nadi D.D.S Inc located?

K Javid D.D.S And M Nadi D.D.S Inc is located at 1622 S Gaffey St Suite #102, San Pedro, CA 90731. The listed phone number is (310) 548-8128.

What is K Javid D.D.S And M Nadi D.D.S Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for K Javid D.D.S And M Nadi D.D.S Inc was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.