Organization Active NPI

Gjergji Bimbli DDS Inc

  • Dental Clinic/Center
  • Culver City, CA
National Provider Identifier
1467197111
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GJERGJI BIMBLI DDS INC
Practice address
10200 Venice Blvd Ste 109a
Culver City, CA 90232-3347
Phone
(310) 558-0023
Fax
(310) 558-4832
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Dr. Gjergji BimbliNPI 1154874170
Title
President
Phone
(310) 341-9280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10200 Venice Blvd Ste 109a
Culver City, CA 90232-3347

Mailing address

10200 Venice Blvd Ste 109a
Culver City, CA 90232-3347
Phone (310) 558-0023

National Provider Directory

National Provider Directory

Locations

10200 Venice Blvd
Ste 109A
Culver City, CA 90232
Phone (310) 558-0023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1467197111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 VENICE BLVD STE 109A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323347",
            "telephone_number": "310-558-0023",
            "fax_number": "310-558-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 VENICE BLVD STE 109A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323347",
            "telephone_number": "310-558-0023",
            "fax_number": "310-558-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJERGJI BIMBLI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BIMBLI",
        "authorized_official_first_name": "GJERGJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-341-9280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.