Gjergji Bimbli, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100534 Issued in CA

Practice address

10200 Venice Blvd Ste 109a
Culver City, CA 90232-3347

Phone

(310) 558-0023

Fax

(310) 558-0023

NPI assigned

Jul 26, 2016

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gjergji Bimbli DDS Inc

  • Dental Clinic/Center
  • Culver City, CA
  • NPI 1467197111
  NPD Authorized official
• N.Bimbli, D.D.S, a Professional Dental Corporation

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1477978823
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1154874170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 VENICE BLVD STE 109A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323347",
            "telephone_number": "310-558-0023",
            "fax_number": "310-558-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 VENICE BLVD STE 109A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323347",
            "telephone_number": "310-558-0023",
            "fax_number": "310-558-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13901 Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902507001",
            "country_code": "US",
            "telephone_number": "310-675-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIMBLI",
        "first_name": "GJERGJI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2022-04-27",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Bickel, SLP
• Big Fun Therapy and Recreational Services, LLC
• Hiroko Biggins
• Anisha K Billing
• Alexandra Bilson, FNP
• Marilyn Albano Bince
• James Gregory Binns, LMFT
• Bio-Medical Applications of California, Inc.
• Chevelle Lashay Birt
• Erin H. Bishop, LMFT

• General Practice Dentistry in Culver City, CA
• Providers in Culver City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.

Verify at the official NPI Registry.