Active NPI
Bedford Dental Group
- Dentist
- Beverly Hills, CA
National Provider Identifier
1528456589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54639
- 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, 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. Daniel Naysan, DDS
- Title
- Dentist/Owner
- Phone
- (310) 278-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558419929 | Other | CA | ALL INSURANCE COMPANIES |
National Provider Directory
National Provider DirectoryPractitioners & 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
- Beverly Hills, CA
- NPI 1104974575
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.