Individual provider Active NPI

Sid Saied Molayem, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beverly Hills, CA
National Provider Identifier
1780954487
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
34038 Issued in CA
Practice address
9675 Brighton Way
Suite #210
Beverly Hills, CA 90210-5100
Phone
(310) 278-9101
NPI assigned
Jan 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 34038 CA Primary

Addresses

Primary practice location

9675 Brighton Way
Suite #210
Beverly Hills, CA 90210-5100

Mailing address

9675 Brighton Way
Suite #210
Beverly Hills, CA 90210-5100
Phone (310) 278-9101

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

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1780954487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "SUITE #210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-278-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "SUITE #210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-278-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAYEM",
        "first_name": "SID",
        "middle_name": "SAIED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "34038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.