Nelly Bezimyansky DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

50040 Issued in CA

Legal business name

NELLY BEZIMYANSKY DDS, INC.

Practice address

6360 Wilshire Blvd Ste 510
Los Angeles, CA 90048-5601

Phone

(323) 655-0865

Fax

(323) 655-0868

NPI assigned

Mar 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nelly BezimyanskyNPI 1972525855

Title

Owner

Phone

(323) 655-0865

Specialties & licenses 1

Addresses

Other names 1

• Dream Smiles Dental Arts Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Nelly Bezimyansky, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1972525855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1124411384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485601",
            "telephone_number": "323-655-0865",
            "fax_number": "323-655-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485601",
            "telephone_number": "323-655-0865",
            "fax_number": "323-655-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLY BEZIMYANSKY DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BEZIMYANSKY",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-655-0865",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Smiles Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madhav Nekkar
• Kathrin Nekrassov
• Andre Elias Nel, MD
• Ashley G. Nelik, MSW, LCSW
• Viannae Carmona Nelkin, PSYD, BCABA
• Casey Amanda Nelms, MSW, ACSW
• Blanche Nelson Herron
• Hayle Nelson-Scott
• Alexandra Nelson, MA - AMFT
• Amanda Natalie Nelson

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.