Individual provider Active NPI

Michael Charles Borenstein, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beverly Hills, CA
National Provider Identifier
1164639928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
036136 Issued in CA
Practice address
8920 Wilshire Blvd
442
Beverly Hills, CA 90211-2007
Phone
(310) 289-6999
Fax
(310) 289-0768
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 036136 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd
442
Beverly Hills, CA 90211-2007

Mailing address

8920 Wilshire Blvd
442
Beverly Hills, CA 90211-2007
Phone (310) 289-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 3, 2013 through Oct 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036136CAMDOral and Maxillofacial Surgery (Dentist)
36136CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164639928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "address_2": "442",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-289-6999",
            "fax_number": "310-289-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "address_2": "442",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-289-6999",
            "fax_number": "310-289-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORENSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "036136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.