Vershinin Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

DDS100895 Issued in CA

Legal business name

VERSHININ DENTAL CORPORATION

Doing business as

Beverly Hills Biodental

Practice address

416 N Bedford Dr Ste 103
Beverly Hills, CA 90210-4308

Phone

(310) 990-5787

Fax

(424) 302-0080

NPI assigned

Mar 29, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Goar Vershinina, DDSNPI 1235643115

Title

Dentist/Owner

Phone

(310) 990-5787

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Beverly Hills Biodental Doing business as

Locations

Practitioners 1

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.

• Goar Vershinina

  • Dentist
  • Beverly Hills, CA
  • NPI 1235643115
  Authorized official Same address or phone

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1275038382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-990-5787",
            "fax_number": "424-302-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-990-5787",
            "fax_number": "424-302-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSHININ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VERSHININA",
        "authorized_official_first_name": "GOAR",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-990-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100895",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F1547663",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E3026942",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Biodental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mihaela Velovici, MA AND MFT
• R Swamy Venuturupalli, M.D.
• Elaine Verchick, M.A. MFT
• Jene Elana Verchick, PSY.D.
• Mariana Vergara, FNP-C
• Grigory Vershinin, DMD
• Goar Vershinina
• Tatiana Vershinina, DDS
• Therese Kathryn Vesagas
• Ghazal Vessal, PHARMACIST

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.