Organization Active NPI

Mark N Katz, DDS a Professional Corporation

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1316479652
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36255 Issued in CA
Legal business name
MARK N KATZ, DDS A PROFESSIONAL CORPORATION
Practice address
8817 W Olympic Blvd
202
Beverly Hills, CA 90211-3627
Phone
(310) 659-5613
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Mark KatzNPI 1245815232
Title
Owner
Phone
(310) 659-5613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36255 CA Primary

Addresses

Primary practice location

8817 W Olympic Blvd
202
Beverly Hills, CA 90211-3627

Mailing address

8817 W Olympic Blvd Ste 202
Beverly Hills, CA 90211-3630

National Provider Directory

National Provider Directory

Locations

8817 W Olympic Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 659-5613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1316479652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 W OLYMPIC BLVD STE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 W OLYMPIC BLVD",
            "address_2": "202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113627",
            "telephone_number": "310-659-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK N KATZ, DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-659-5613",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36255",
            "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 Mar 28, 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.