Active NPI
Grigory Vershinin, DMD
- Dentist
- Beverly Hills, CA
National Provider Identifier
1326582933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS100949
- Practice address
- 265 S Doheny Dr Apt 308
Beverly Hills, CA 90211-2548 - Phone
- (818) 661-7906
- NPI assigned
- Dec 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS100949 | CA | Primary |
Addresses
Primary practice location
265 S Doheny Dr Apt 308
Beverly Hills, CA 90211-2548
Mailing address
265 S Doheny Dr Apt 308
Beverly Hills, CA 90211-2548
Phone (818) 661-7906
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS100949 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1326582933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 S DOHENY DR APT 308",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112548",
"telephone_number": "818-661-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 S DOHENY DR APT 308",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112548",
"telephone_number": "818-661-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSHININ",
"first_name": "GRIGORY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-15",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS100949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- R Swamy Venuturupalli, M.D.
- Elaine Verchick, M.A. MFT
- Jene Elana Verchick, PSY.D.
- Mariana Vergara, FNP-C
- Vershinin Dental Corporation (Beverly Hills Biodental)
- Goar Vershinina
- Tatiana Vershinina, DDS
- Therese Kathryn Vesagas
- Ghazal Vessal, PHARMACIST
- Vicki Rapaport, M.D., a Professional Corporation (Rapaport Dermatology of Beverly Hills)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.