Organization Active NPI

Bedford Dental Group

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1528456589
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54639 Issued in CA
Legal business name
BEDFORD DENTAL GROUP
Practice address
436 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4320
Phone
(310) 278-0600
NPI assigned
Dec 29, 2014
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Daniel Naysan, DDS
Title
Dentist/Owner
Phone
(310) 278-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54639 CA Primary

Addresses

Primary practice location

436 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4320

Mailing address

PO Box 17099
Beverly Hills, CA 90209-3099
Phone (310) 278-0600

Other identifiers 1

IdentifierTypeStateIssuer
1558419929OtherCAALL INSURANCE COMPANIES

National Provider Directory

National Provider Directory

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": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1528456589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17099",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902093099",
            "telephone_number": "310-278-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104320",
            "telephone_number": "310-278-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "NAYSAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-278-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE COMPANIES",
            "identifier": "1558419929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.