Individual provider Active NPI

Diana Elizabeth Zschaschel, D.D.S.

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1679639264
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44450 Issued in CA
Practice address
8920 Wilshire Blvd
Suite 610
Beverly Hills, CA 90211-2007
Phone
(310) 854-6102
Fax
(310) 854-6161
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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 44450 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd
Suite 610
Beverly Hills, CA 90211-2007

Mailing address

12130 Ohio Ave
Apt 309
Los Angeles, CA 90025-2583
Phone (310) 420-7964

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
I20151022002006 CA Order and Referring Only - DentistPractitioner - Dentist 1355650896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diana E Zschaschel, DDS a Professional Dental Corp Current Accepting new patients

Organizations & group practices 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1679639264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 OHIO AVE",
            "address_2": "APT 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252583",
            "telephone_number": "310-420-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "address_2": "SUITE 610",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-854-6102",
            "fax_number": "310-854-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZSCHASCHEL",
        "first_name": "DIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.