Organization Active NPI

Nicolas a. Ravon, DDS, MSD, Inc.

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1841623162
Registry record updated Aug 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS44533 Issued in CA
Legal business name
NICOLAS A. RAVON, DDS, MSD, INC.
Practice address
9675 Brighton Way
Penthouse a
Beverly Hills, CA 90210-5100
Phone
(310) 275-5325
Fax
(310) 275-9155
NPI assigned
Aug 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2013

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

Authorized official

Name
Dr. Nicolas Andreas Ravon, DDS
Title
Owner
Phone
(310) 275-5325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DDS44533 CA Primary

Addresses

Primary practice location

9675 Brighton Way
Penthouse a
Beverly Hills, CA 90210-5100

Mailing address

9675 Brighton Way
Penthouse a
Beverly Hills, CA 90210-5100
Phone (310) 275-5325

National Provider Directory

National Provider Directory

Locations

9675 Brighton Way
Ph A
Beverly Hills, CA 90210
Phone (310) 275-3842

Practitioners & affiliated clinicians

Practitioners 2

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": "1376179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376179200000",
    "number": "1841623162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "PENTHOUSE A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-275-5325",
            "fax_number": "310-275-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "PENTHOUSE A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-275-5325",
            "fax_number": "310-275-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS A. RAVON, DDS, MSD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A",
        "authorized_official_last_name": "RAVON",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "ANDREAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-275-5325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS44533",
            "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 Aug 11, 2013; 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.