Individual provider Active NPI

Lauren Povitz, DMD

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1356951792
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101172 Issued in CA
Practice address
9735 Wilshire Blvd Ste 320
Beverly Hills, CA 90212-2111
Phone
(310) 246-0444
Fax
(310) 246-0455
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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 101172 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd Ste 320
Beverly Hills, CA 90212-2111

Mailing address

9735 Wilshire Blvd Ste 320
Beverly Hills, CA 90212-2111
Phone (310) 246-0444

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
101172CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1356951792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-246-0444",
            "fax_number": "310-246-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-246-0444",
            "fax_number": "310-246-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVITZ",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101172",
            "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 Jul 31, 2020; 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.