Tom Kalili, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34503 Issued in CA

Practice address

416 N Bedford Dr
Suite 102
Beverly Hills, CA 90210-4322

Phone

(310) 273-9485

Fax

(310) 273-2138

NPI assigned

Jun 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile 90210 LLC

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1013271105
  NPD (past) Authorized official
• Beverly Hills Medical Suite Inc

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1861751174
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1063671758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105003",
            "telephone_number": "310-273-9485",
            "fax_number": "310-273-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "SUITE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "310-273-9485",
            "fax_number": "310-273-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALILI",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM",
            "identifier": "1063671758",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaiser Permanente
• Melia Nami Kakita, DPT, CSCS
• Shana Subodh Kalaria, M.D.
• Niree Kalfayan, PHARMD, BCPS
• Michael Kaliko, D.C.
• Gus Kalioundji, M.D.
• Kamal Zakka MD an Ophthalmological Corp
• Rohan Harish Kambeyanda, M.D.
• Kambiz Kashfian DDS Inc
• Kambiz Parsa, M.D. Inc

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.