Organization Active NPI

Manhattan Beach Dental Esthetics

  • Dentist
  • Manhattan Beach, CA
National Provider Identifier
1245784305
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48000 Issued in CA
Legal business name
MANHATTAN BEACH DENTAL ESTHETICS
Practice address
200 N Aviation Blvd Unit a
Manhattan Beach, CA 90266-7015
Phone
(310) 937-6453
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Arash R. Panah
Title
Owner
Phone
(310) 937-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48000 CA Primary

Addresses

Primary practice location

200 N Aviation Blvd Unit a
Manhattan Beach, CA 90266-7015

Mailing address

200 N Aviation Blvd Unit a
Manhattan Beach, CALIFORNIA 90266
UM
Phone (310) 937-6453

National Provider Directory

National Provider Directory

Locations

200 N Aviation Blvd
Unit A
Manhattan Beach, CA 90266
Phone (310) 937-6453

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1245784305",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "200 N AVIATION BLVD UNIT A",
            "city": "MANHATTAN BEACH",
            "state": "CALIFORNIA",
            "postal_code": "90266",
            "telephone_number": "310-937-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N AVIATION BLVD UNIT A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667015",
            "telephone_number": "310-937-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN BEACH DENTAL ESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "PANAH",
        "authorized_official_first_name": "ARASH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-937-6453"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.