Individual provider Active NPI

Beverly Ann Woss, DDS

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1174780449
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38149 Issued in CA
Practice address
9401 Wilshire Blvd
1140
Beverly Hills, CA 90212-2928
Phone
(310) 275-5504
Fax
(310) 275-5506
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38149 CA Primary

Addresses

Primary practice location

9401 Wilshire Blvd
1140
Beverly Hills, CA 90212-2928

Mailing address

9401 Wilshire Blvd
1140
Beverly Hills, CA 90212-2928
Phone (310) 275-5504

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
38149CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1174780449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "1140",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-275-5504",
            "fax_number": "310-275-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "1140",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-275-5504",
            "fax_number": "310-275-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSS",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.