NPIMap

Organization Active NPI

Beard Apc & Fernandez Adc Dental Group

Doing business as Beard Fernandez Dental Group

  • Dentist
  • Woodland Hills, CA
National Provider Identifier
1215061627
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15599 Issued in CA
Legal business name
BEARD APC & FERNANDEZ ADC DENTAL GROUP
Doing business as
Beard Fernandez Dental Group
Practice address
22600 Ventura Blvd
Suite 204
Woodland Hills, CA 91364-1414
Phone
(818) 225-0046
Fax
(818) 225-1318
NPI assigned
Mar 15, 2007
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Dr. Manuel J Fernandez III, D.D.S.NPI 1124374962
Title
Partner
Phone
(818) 225-0046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 15599 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 27230 CA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 35581 CA

Addresses

Primary practice location

22600 Ventura Blvd
Suite 204
Woodland Hills, CA 91364-1414

Mailing address

22600 Ventura Blvd
Suite 204
Woodland Hills, CA 91364-1414
Phone (818) 225-0046

Other names 1

  • Beard Fernandez Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

22600 Ventura Blvd
Ste 204
Woodland Hls, CA 91364
Phone (818) 225-0046

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1215061627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22600 VENTURA BLVD",
            "address_2": "SUITE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641414",
            "telephone_number": "818-225-0046",
            "fax_number": "818-225-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22600 VENTURA BLVD",
            "address_2": "SUITE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641414",
            "telephone_number": "818-225-0046",
            "fax_number": "818-225-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARD APC & FERNANDEZ ADC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-225-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "15599",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27230",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beard Fernandez Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beard Fernandez Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.