Organization Active NPI

Sunset Smile Dental Corp

  • Preferred Provider Organization
  • West Hollywood, CA
National Provider Identifier
1225438070
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
41789 Issued in CA
Legal business name
SUNSET SMILE DENTAL CORP
Practice address
8606A W Sunset Blvd
West Hollywood, CA 90069-2302
Phone
(310) 424-3690
Fax
(310) 424-3495
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Dr. Bill E Ginzburg, DDS
Title
Owner/Ceo
Phone
(310) 424-3690

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 41789 CA
Preferred Provider Organization 305R00000X 41789 CA Primary

Addresses

Primary practice location

8606A W Sunset Blvd
West Hollywood, CA 90069-2302

Mailing address

8606 A West Sunset Blvd
West Hollywood, CA 90069
Phone (310) 424-3690

National Provider Directory

National Provider Directory

Locations

8606 W Sunset Blvd
#A
West Hollywood, CA 90069
Phone (310) 424-3690

8606A W Sunset Blvd
West Hollywood, CA 90069
Phone (310) 424-3690

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1225438070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 A WEST SUNSET BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-424-3690",
            "fax_number": "310-424-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606A W SUNSET BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692302",
            "telephone_number": "310-424-3690",
            "fax_number": "310-424-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SMILE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "GINZBURG",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-424-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "41789",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "41789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.