Beverly Hills Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

45887 Issued in CA

Legal business name

BEVERLY HILLS DENTAL CARE

Practice address

9025 Wilshire Blvd
#305
Beverly Hills, CA 90211

Phone

(310) 859-2432

Fax

(310) 859-2467

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ruvun Keselbrener, DDS

Title

DDS

Phone

(310) 859-2432

Specialties & licenses 1

Addresses

Other names 1

• Dr Micahel Keselbrener DDS Inc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mkhail Keselbrener

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1356736060
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1124162987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 NEWCASTLE AVE",
            "address_2": "#1",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-342-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "#305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-859-2432",
            "fax_number": "310-859-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "KESELBRENER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RUVUN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "310-859-2432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Micahel Keselbrener DDS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.