Active NPI
David Soheil Nikfarjam, D.D.S.
- Pediatric Dentistry
- Beverly Hills, CA
National Provider Identifier
1891856753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 43216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9181702 | Other | CA | DENTI-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
| License | State | Type | Specialty |
|---|---|---|---|
| 43216 | CA | MD | General 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.