David James Primac, D.M.D.

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

DW031359 Issued in CA

Practice address

239 S la Cienega Blvd
#208
Beverly Hills, CA 90211-3328

Phone

(310) 652-1318

Fax

(310) 652-3028

NPI assigned

Jan 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1124440110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S LA CIENEGA BLVD",
            "address_2": "#208",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113328",
            "telephone_number": "310-652-1318",
            "fax_number": "310-652-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S LA CIENEGA BLVD",
            "address_2": "#208",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113328",
            "telephone_number": "310-652-1318",
            "fax_number": "310-652-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMAC",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "DW031359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Womens Imaging
• Peter Pressman, M.D.
• Prestige
• Prestige Dental Spa of Beverly Hills
• Jennifer Price
• Primavue Diagnostic Imaging
• Heather Primus, M.A., MFT
• James Howard Pritchard, M.D.
• Gregory Wayne Proctor, MD
• Professional Billing Service

• Advanced Practice Dental Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.