Individual provider Active NPI

Oded Bahat, BDS MSD

  • Periodontics
  • Beverly Hills, CA
National Provider Identifier
1285893560
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30531 Issued in CA
Practice address
414 N Camden Drive
Suite 1260
Beverly Hills, CA 90210
Phone
(310) 859-8123
Fax
(310) 859-2884
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 30531 CA Primary

Addresses

Primary practice location

414 N Camden Drive
Suite 1260
Beverly Hills, CA 90210

Mailing address

414 N Camden Dr Ste 1260
Beverly Hills, CA 90210-4512
Phone (310) 859-8123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30531CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1285893560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 1260",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104512",
            "telephone_number": "310-859-8123",
            "fax_number": "310-859-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DRIVE",
            "address_2": "SUITE 1260",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-859-8123",
            "fax_number": "310-859-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAT",
        "first_name": "ODED",
        "name_prefix": "Dr.",
        "credential": "BDS MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "30531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.