Active NPI
Peiman Soleymani, D.D.S.
- Periodontics
- Beverly Hills, CA
National Provider Identifier
1063856672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 44444
- Practice address
- 416 N Bedford Dr
Suite 209
Beverly Hills, CA 90210-4322 - Phone
- (310) 275-4606
- Fax
- (310) 623-9106
- NPI assigned
- Apr 25, 2013
- Reactivated
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 44444 | CA | Primary |
Addresses
Primary practice location
416 N Bedford Dr
Suite 209
Beverly Hills, CA 90210-4322
Mailing address
416 N Bedford Dr
Suite 209
Beverly Hills, CA 90210-4322
Phone (310) 275-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170213002645 | CA | Order and Referring Only - Other (Non-Physician) | 6103109368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44444 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peiman Soleymani DDS Inc | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Beverly Hills, CA
- NPI 1578775623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1063856672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR",
"address_2": "SUITE 209",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104322",
"telephone_number": "310-275-4606",
"fax_number": "310-623-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR",
"address_2": "SUITE 209",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104322",
"telephone_number": "310-275-4606",
"fax_number": "310-623-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLEYMANI",
"first_name": "PEIMAN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-25",
"last_updated": "2013-07-25",
"deactivation_date": "2013-06-05",
"reactivation_date": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "44444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.