Individual provider Active NPI

Cyrus Bandary, DMD

  • Prosthodontics
  • Woodland Hills, CA
National Provider Identifier
1679730873
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30263 Issued in MA
Practice address
6325 Topanga Canyon Blvd Ste 510
Woodland Hills, CA 91367-2048
Phone
(818) 992-0756
Fax
(818) 346-1122
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 30263 MA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd Ste 510
Woodland Hills, CA 91367-2048

Mailing address

6325 Topanga Cyn Blvd Ste 510
Woodland Hills, CA 91367-2048
Phone (818) 992-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30263MAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1679730873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CYN BLVD STE 510",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672048",
            "telephone_number": "818-992-0756",
            "fax_number": "818-346-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 510",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672048",
            "telephone_number": "818-992-0756",
            "fax_number": "818-346-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARY",
        "first_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "30263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.