Individual provider Active NPI

Kevin R Frawley, D.D.S

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1508083668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29904 Issued in CA
Practice address
8920 Wilshire Blvd Ste 701
Beverly Hills, CA 90211-2006
Phone
(310) 652-8383
Fax
(310) 652-5467
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29904 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 701
Beverly Hills, CA 90211-2006

Mailing address

11025 Fullbright Ave
Chatsworth, CA 91311-1710
Phone (310) 652-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902003199 CA Order and Referring Only - DentistPractitioner - Dentist 5597071704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29904CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kevin Michele and Shawn Frawley Beverly Hills Dental Group Inc Past Accepting new patients
Center for Sleep Health and Wellness Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508083668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 FULLBRIGHT AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111710",
            "telephone_number": "310-652-8383",
            "fax_number": "310-652-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 701",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112006",
            "telephone_number": "310-652-8383",
            "fax_number": "310-652-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAWLEY",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.