Individual provider Active NPI

Tiffany Dushane, D.M.D

  • General Practice Dentistry
  • West Hollywood, CA
National Provider Identifier
1154554129
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52600 Issued in CA
Practice address
9201 W Sunset Blvd Ste 808
West Hollywood, CA 90069-3709
Phone
(310) 739-1113
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52600 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 808
West Hollywood, CA 90069-3709

Mailing address

9201 W Sunset Blvd Ste 808
West Hollywood, CA 90069-3709
Phone (310) 739-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52600CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Dushane, D.M.D, Inc. General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1154554129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 808",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-739-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 808",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-739-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSHANE",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.