Moshe Benarrochdmd a Dental Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MOSHE BENARROCHDMD A DENTAL CORPORATION

Practice address

23838 Valencia Blvd
Suite 230
Valencia, CA 91355-5319

Phone

(661) 222-7762

Fax

(661) 799-0168

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Moshe Benarroch, DMD

Title

President / Owner

Phone

(661) 222-7762

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1396186557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 230",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555319",
            "telephone_number": "661-222-7762",
            "fax_number": "661-799-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 230",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555319",
            "telephone_number": "661-222-7762",
            "fax_number": "661-799-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHE BENARROCHDMD A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "BENARROCH",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "661-222-7762",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12564281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Morris, PSY.D.
• Ambberr C Morrow
• Jeffrey Morrow, PHD
• Melany Morshedian
• Samuel Moses, MD
• Mostafa Tabassomi MD Inc
• Amin Motaref, MD
• Motion Picture and Television Fund Medical Group Inc
• Veronica Moton Akkaya
• Leland Moton

• Periodontics in Valencia, CA
• Providers in Valencia, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.