Individual provider Active NPI

Jamielynn Michelle Hanam-Jahr, DDS

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1215145313
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46068 Issued in CA
Practice address
435 North Bedford Drive
Suite 414
Beverly Hills, CA 90210
Phone
(310) 276-2088
Fax
(310) 388-5399
NPI assigned
May 20, 2007
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46068 CA
General Practice Dentistry 1223G0001X 46068 CA Primary

Addresses

Primary practice location

435 North Bedford Drive
Suite 414
Beverly Hills, CA 90210

Mailing address

435 North Bedford Drive
Suite 414
Beverly Hills, CA 90210
Phone (310) 276-2088

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190312002428 CA Order and Referring Only - DentistPractitioner - Dentist 8820338726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46068CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1215145313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NORTH BEDFORD DRIVE",
            "address_2": "SUITE 414",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-276-2088",
            "fax_number": "310-388-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NORTH BEDFORD DRIVE",
            "address_2": "SUITE 414",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-276-2088",
            "fax_number": "310-388-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAM-JAHR",
        "first_name": "JAMIELYNN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46068",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.