Yury Bershadsky, D.D.S.
Individual provider Active NPI General Practice Dentistry · Chatsworth, CA
NPI 1255545976 · NPPES record last updated Nov 20, 2012
Key facts
- NPI
- 1255545976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 43757 (CA)
- Practice address
- 10108 Topanga Canyon Blvd
Chatsworth, CA 91311-2801 - Phone
- (818) 709-6713
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43757 | CA | MD | Neonatal/Pediatric Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yury Bershadsky D.D.S. Inc. | Past | Accepting new patients | |
| Elliot P. Schlang DDS Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43757 | CA | Yes |
Addresses
Primary practice location
10108 Topanga Canyon Blvd
Chatsworth, CA 91311-2801
Mailing address
10108 Topanga Canyon Blvd
Chatsworth, CA 91311-2801
Phone (818) 709-6713
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B43757-01 | Medicaid | CA |
Other providers in Chatsworth, CA
- Steven Michael Beard Jr.
- Cassandra Beauvoir
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- Krystel Berio
- Bermuda Recovery Center Inc
- Best Care Nursing Hospice, Inc
- Best Ever Home Health, Inc.
- Best Hospice Inc
- Best Palliative Hospice Care, Inc
- Better Care and Health
All providers in Chatsworth, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.