Bright Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

41407 Issued in CA

Legal business name

BRIGHT DENTAL CORP

Practice address

2425 Colorado Ave
210
Santa Monica, CA 90404-3584

Phone

(562) 944-4745

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Farinoush Gaminchi, DDS

Title

Owner

Phone

(562) 944-4745

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gaminchi and Kim Dental Corporation

  • General Practice Dentistry
  • La Mirada, CA
  • NPI 1962549519

  O20150917001378

  Same enrollment

Locations

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1871961540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "210",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043584",
            "telephone_number": "562-944-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "210",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043584",
            "telephone_number": "562-944-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "GAMINCHI",
        "authorized_official_first_name": "FARINOUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-944-4745",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R. Gantwerker, M.D., a Medical Corporation
• Elaine Hope Bridge
• Bridges to Recovery II LLC
• Alec Bridges, LAC
• Deborah Marie Briem, LMFT
• Ana Brightleaf, D.M.D.
• James Brighton, MA, AMFT
• Bringing Up Baby
• Bringing Up Baby, Inc
• Gary B Briskin, DPM

• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.