Organization Active NPI

Yigal Prilutsky, D.M.D., Inc.

Doing business as Beverlywood Dental

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1457532459
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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.NPI 1366625311
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.