Individual provider Active NPI

Abraham Nobel, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1285786392
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52664 Issued in CA
Practice address
3851 W 6TH St
Los Angeles, CA 90020-3937
Phone
(213) 386-7173
Fax
(213) 386-7177
NPI assigned
Jan 17, 2007
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52664 CA Primary

Addresses

Primary practice location

3851 W 6TH St
Los Angeles, CA 90020-3937

Mailing address

3851 W 6TH St
Los Angeles, CA 90020-3937
Phone (310) 433-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150417001615 CA Order and Referring Only - DentistPractitioner - Dentist 5597083725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1285786392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203937",
            "telephone_number": "310-433-1160",
            "fax_number": "310-277-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203937",
            "telephone_number": "213-386-7173",
            "fax_number": "213-386-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBEL",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.