Individual provider Active NPI

David Soheil Nikfarjam, D.D.S.

  • Pediatric Dentistry
  • Beverly Hills, CA
National Provider Identifier
1891856753
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43216 Issued in CA
Practice address
99 N la Cienega Blvd
#308
Beverly Hills, CA 90211-2222
Phone
(310) 855-9920
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43216 CA
Pediatric Dentistry 1223P0221X 43216 CA Primary

Addresses

Primary practice location

99 N la Cienega Blvd
#308
Beverly Hills, CA 90211-2222

Mailing address

99 N la Cienega Blvd
#308
Beverly Hills, CA 90211-2222
Phone (310) 855-9920

Other identifiers 1

IdentifierTypeStateIssuer
G9181702OtherCADENTI-CAL

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

State licenses

LicenseStateTypeSpecialty
43216CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1891856753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "#308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-855-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "#308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-855-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKFARJAM",
        "first_name": "DAVID",
        "middle_name": "SOHEIL",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43216",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G9181702",
            "state": "CA"
        }
    ],
    "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 12, 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.