Active NPI
Yigal Prilutsky, D.M.D., Inc.
Doing business as Beverlywood Dental
- Dental Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- YIGAL PRILUTSKY, D.M.D., INC.
- Doing business as
- Beverlywood Dental
- Practice address
- 8515 Venice Blvd
Los Angeles, CA 90034-2548 - Phone
- (310) 839-3900
- Fax
- (310) 839-3332
- NPI assigned
- Nov 19, 2007
- Last updated
- Feb 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yigal Prilutsky, D.M.D.
- Title
- President
- Phone
- (818) 929-9572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
8515 Venice Blvd
Los Angeles, CA 90034-2548
Mailing address
8515 Venice Blvd
Los Angeles, CA 90034-2548
Phone (310) 839-3900
Other names 1
- Beverlywood Dental
National Provider Directory
National Provider DirectoryLocations
8515 Venice Blvd
Los Angeles, CA 90034
Phone (310) 839-3900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1366625311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393545600000",
"number": "1457532459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342548",
"telephone_number": "310-839-3900",
"fax_number": "310-839-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342548",
"telephone_number": "310-839-3900",
"fax_number": "310-839-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YIGAL PRILUTSKY, D.M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2014-02-28",
"status": "A",
"authorized_official_last_name": "PRILUTSKY",
"authorized_official_first_name": "YIGAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-929-9572",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beverlywood Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.