NPIMap

Organization Active NPI

Bershadsky Dental Corporation

  • Dental Clinic/Center
  • Woodland Hills, CA
National Provider Identifier
1750882676
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BERSHADSKY DENTAL CORPORATION
Practice address
6543 Topanga Canyon Blvd
Woodland Hills, CA 91303-2622
Phone
(818) 883-7979
Fax
(818) 883-4498
NPI assigned
Feb 26, 2018
Organization subpart
Yes
Parent organization
BERSHADSKY DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Authorized official

Name
Yury Bershadsky, DDS
Title
Dentist
Phone
(818) 883-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6543 Topanga Canyon Blvd
Woodland Hills, CA 91303-2622

Mailing address

6543 Topanga Canyon Blvd
Woodland Hills, CA 91303-2622
Phone (818) 883-7979

Other identifiers 1

IdentifierTypeStateIssuer
1255545976OtherCANPI

Other names 1

  • West Valley Dental Other name

National Provider Directory

National Provider Directory
Part of
Bershadsky Dental Corporation

Locations

6543 Topanga Canyon Blvd
Woodland Hills, CA 91303
Phone (818) 883-7979

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1750882676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032622",
            "telephone_number": "818-883-7979",
            "fax_number": "818-883-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6543 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032622",
            "telephone_number": "818-883-7979",
            "fax_number": "818-883-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERSHADSKY DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERSHADSKY DENTAL CORPORATION",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "BERSHADSKY",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-883-7979",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255545976",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 26, 2018; 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.