Moshe Benarroch, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

48431 Issued in CA

Practice address

25775 McBean Pkwy Ste 215
Valencia, CA 91355-3703

Phone

(661) 222-7762

Fax

(661) 755-0816

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 19, 2015 through May 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moshe Benarrochdmd a Dental Corporation

  • Periodontics
  • Valencia, CA
  • NPI 1396186557
  Authorized official Same address or phone
• Ian Pearson DMD Inc.

  • Periodontics
  • Valencia, CA
  • NPI 1477385219
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275643017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S REXFORD DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124009",
            "telephone_number": "310-717-6373",
            "fax_number": "310-274-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY STE 215",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553703",
            "telephone_number": "661-222-7762",
            "fax_number": "661-755-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENARROCH",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "48431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Bellamy
• Denise Beltran
• Lauren Rose Beltran
• Lorena Beltran
• Belview Healthcare Services
• Amon Benavides, LMFT
• Shelby Benavidez
• Sittiporn Bencharit, M.D.
• Alfonso Benitez Sr., RDA
• Lauren Benitez

• Periodontics in Valencia, CA
• Providers in Valencia, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.