Organization Active NPI

Beverly Hills Specialty Dental Care

  • Endodontics
  • Beverly Hills, CA
National Provider Identifier
1306384789
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60046 Issued in CA
Legal business name
BEVERLY HILLS SPECIALTY DENTAL CARE
Practice address
9301 Wilshire Blvd
#407
Beverly Hills, CA 90210-5424
Phone
(310) 278-3666
Fax
(310) 278-6495
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Nicole Barkhordar, DDS, M.ED
Title
DDS M.Ed
Phone
(310) 278-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 60046 CA Primary

Addresses

Primary practice location

9301 Wilshire Blvd
#407
Beverly Hills, CA 90210-5424

Mailing address

9301 Wilshire Blvd
#407
Beverly Hills, CA 90210-5424
Phone (310) 278-3666

National Provider Directory

National Provider Directory

Locations

9301 Wilshire Blvd
Ste 407
Beverly Hills, CA 90210
Phone (310) 271-3225

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1306384789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "#407",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105424",
            "telephone_number": "310-278-3666",
            "fax_number": "310-278-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "#407",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105424",
            "telephone_number": "310-278-3666",
            "fax_number": "310-278-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SPECIALTY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "BARKHORDAR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DDS M.ED",
        "authorized_official_telephone_number": "310-278-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, M.ED"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60046",
            "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 Feb 7, 2017; 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.