Braslavsky DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

31575 Issued in CA

Legal business name

BRASLAVSKY DDS, INC

Practice address

7531 Santa Monica Blvd
Suite 101
West Hollywood, CA 90046

Phone

(323) 876-0346

Fax

(323) 876-7147

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Faina Braslavsky

Title

Secretary

Phone

(323) 876-0346

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1932503042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 SANTA MONICA BLVD",
            "address_2": "SUITE 101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-876-0346",
            "fax_number": "323-876-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 SANTA MONICA BLVD",
            "address_2": "SUITE 101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-876-0346",
            "fax_number": "323-876-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASLAVSKY DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "BRASLAVSKY",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-876-0346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54801",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.