Active NPI
Mark Jamison
- Dentist
- Beverly Hills, CA
National Provider Identifier
1932586104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47487
- Practice address
- 9100 Wilshire Blvd
Suite 301E
Beverly Hills, CA 90212-3415 - Phone
- (310) 274-8811
- Fax
- (310) 274-3660
- NPI assigned
- Apr 27, 2015
- Last updated
- Apr 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47487 | CA | Primary |
Addresses
Primary practice location
9100 Wilshire Blvd
Suite 301E
Beverly Hills, CA 90212-3415
Mailing address
9100 Wilshire Blvd
Suite 301E
Beverly Hills, CA 90212-3415
Phone (310) 274-8811
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 |
|---|---|---|---|
| 47487 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark B. Jamison, D.D.S., a Professional Dentistry Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Beverly Hills, CA
- NPI 1174515027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1932586104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 WILSHIRE BLVD",
"address_2": "SUITE 301E",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123415",
"telephone_number": "310-274-8811",
"fax_number": "310-274-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 WILSHIRE BLVD",
"address_2": "SUITE 301E",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123415",
"telephone_number": "310-274-8811",
"fax_number": "310-274-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "MARK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- James Daniel MD
- James E. Burrows, M.D., Inc
- James Elist MD a Medical Corporation
- James J Reid MD Inc
- James L. Meltzer, M.D., Inc.
- Jamshid Maddahi MD, Inc. (Los Angeles Cardiovascular Medical Group)
- Jamshid Maddahi, MD, Inc. (Los Angeles Cardiovascular Medical Group)
- Jamshid Nazarian, M.D. Inc
- Janet Refoa,D.D.S, Inc. (JJP Dental Practice)
- Janfaza Chiropractic Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.