Mervat S. Bakhoum, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39940 Issued in CA

Legal business name

MERVAT S. BAKHOUM, D.D.S.

Practice address

5540 N Figueroa St
Los Angeles, CA 90042-4120

Phone

(323) 478-1101

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Maneesh A. Bansal

Title

Administrator

Phone

(323) 478-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mervat S Bakhoum DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mervat S. Bakhoum, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1548439284
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mervat S. Bakhoum, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1548439284
  NPPES parent name

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1447429303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVAT S. BAKHOUM, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-478-1101"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G94072-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexxis Rose Merriweather
• Tanisha Merriweather
• Merry Home Health
• Bryan Mershon, PH.D.
• Marlen Barbara Mertz, LCSW
• Mervat S. Bakhoum, D.D.S.
• Beatrice Arcilla Merza, P.T.
• Reza Mesbah, M.D
• Kimberly Meschede, M.S., CCC-SLP
• Mesh Family Therapy Collective, Inc. (Kincove)

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.