Dan Beroukhim DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAN BEROUKHIM DDS INC

Practice address

5432 Sepulveda Blvd Ste a
Culver City, CA 90230-5512

Phone

(310) 498-5682

NPI assigned

May 29, 2019

Last updated

May 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan Beroukhim, DDSNPI 1396119905

Title

Owner Dentist

Phone

(310) 498-5682

Specialties & licenses 1

Addresses

Locations

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.

• Dan Beroukhim, DDS

  • General Practice Dentistry
  • Culver City, CA
  • NPI 1396119905
  NPD (past) Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1609434364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S BEVERLY GLEN BLVD UNIT 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255179",
            "telephone_number": "310-498-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 SEPULVEDA BLVD STE A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305512",
            "telephone_number": "310-498-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN BEROUKHIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "BEROUKHIM",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-498-5682",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnie L Daguil, R.N.
• Qianghui Dai, NURSE PRACTITIONER
• Dakyra Baker
• John S Daley
• Jennifer Dalton
• Shely Dan
• Chandler Shaw Dandridge
• Rebecca J. Danelski, LCSW
• Casie J Danenhauer, PT, DPT
• Breann M Daneshrad, LMFT

• Dental Clinic/Center in Culver City, CA
• Providers in Culver City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.