BEHDAD JAVDAN (NPI# 1104276765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104276765 |
Entity Type | Individual |
Full Name | BEHDAD JAVDAN |
Credential | D.D.S. |
Practice Address |
5009 Bremner Way Apt #2 Sacramento CA 95841-4622 |
Practice Telephone | 3104033479 |
Mailing Telephone | 3104033479 |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-06-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
100274 | CA | Dental Providers |
Street Address |
5009 BREMNER WAY APT #2 |
City | SACRAMENTO |
State | CA |
Zip Code | 95841-4622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
Find all providers in zip 95841 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386029270 | Sarmad Paydar | Dentist | 1017 L St # 684, Sacramento, CA 95814-3805 | 2015-07-21 |
1982096897 | Ronald R. Rott | Dentist | 4145 Garden Hwy, Sacramento, CA 95834-9600 | 2015-03-02 |
1760721104 | Ramandeep K Gill | Dentist | 3290 Arena Blvd Ste 610, Sacramento, CA 95834-3003 | 2013-02-05 |
1932487410 | Dorel Onea | Dentist | 717 13th St, Suite A, Sacramento, CA 95814-1951 | 2011-08-01 |
1326240854 | Ching-yin Tsai | Dentist | 4150 Truxel Rd, Suite D, Sacramento, CA 95834-3761 | 2007-06-05 |
1881721199 | Robin Howard Berrin | Dentist | 1810 Professional Dr, Sacramento, CA 95825 | 2007-02-27 |
1568597516 | Capital Periodontal Group | Dentist | 1810 Professional Drive, Sacramento, CA 95825 | 2007-02-22 |
1336292028 | Leland Lee | Dentist | 2131 Capitol Ave Ste 200, Sacramento, CA 95816-5755 | 2007-01-18 |
1417459397 | Matthew A. Korn, Dds, Professional Corporation | Dentist | 2830 G St Ste 100, Sacramento, CA 95816-3784 | 2018-03-06 |
1770030538 | Sarmad Paydar Dds Ms Corp | Dentist | 1017 L St # 684, Sacramento, CA 95814-3805 | 2016-09-08 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95841 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.