Bruce Vafa DDS Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

52126 Issued in CA

Legal business name

BRUCE VAFA DDS DENTAL CORP

Practice address

8500 Wilshire Blvd Ste 709
Beverly Hills, CA 90211-3105

Phone

(310) 201-9001

Fax

(310) 289-9030

NPI assigned

Dec 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Vafa, DDSNPI 1265575948

Title

President

Phone

(310) 201-9001

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.

• Bruce Vafa, D.D.S

  • Dentist
  • Sherman Oaks, CA
  • NPI 1265575948
  NPD (past) Authorized official

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1689118192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 709",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113105",
            "telephone_number": "310-201-9001",
            "fax_number": "310-289-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 709",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113105",
            "telephone_number": "310-201-9001",
            "fax_number": "310-289-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE VAFA DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "VAFA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-201-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brown, ASW
• Rebecca Brown, M.D.
• Bruce B McLucas M D a Professional Corporation
• Bruce L. Miller M.D. a Professional Corporation
• Bruce M Frome, MD, Inc.
• Paula Evadne Bruce, PH.D.
• Gary G. Bruton, PSY.D.
• Karen Bryan, LMFT
• Meigan Bryant, MD
• Melissa Brymer, PH.D., PSY.D.

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.