Mark B. Jamison, D.D.S., a Professional Dentistry Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

47487 Issued in CA

Legal business name

MARK B. JAMISON, D.D.S., A PROFESSIONAL DENTISTRY CORPORATION

Practice address

9100 Wilshire Blvd
Suite 301E
Beverly Hills, CA 90212-3415

Phone

(310) 274-8811

Fax

(310) 274-3660

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Mark Bennett Jamison, D.D.S.NPI 1932586104

Title

Dentist/Owner

Phone

(310) 274-8811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Jamison

  • Dentist
  • Beverly Hills, CA
  • NPI 1932586104
  NPD (past) Authorized official

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1174515027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE 301E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123415",
            "telephone_number": "310-274-8811",
            "fax_number": "310-274-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE 301E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123415",
            "telephone_number": "310-274-8811",
            "fax_number": "310-274-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B. JAMISON, D.D.S., A PROFESSIONAL DENTISTRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-274-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.