Organization Active NPI

Pinar Wagner Dental Partnership

  • Dental Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1972252682
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PINAR WAGNER DENTAL PARTNERSHIP
Practice address
8733 Beverly Blvd Ste 202
West Hollywood, CA 90048-1844
Phone
(310) 659-1000
Fax
(310) 659-3536
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Daryl Jane Delacruz
Title
Billing Consultant
Phone
(213) 268-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8733 Beverly Blvd Ste 202
West Hollywood, CA 90048-1844

Mailing address

8733 Beverly Blvd Ste 202
West Hollywood, CA 90048-1844
Phone (310) 659-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1972252682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD STE 202",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481844",
            "telephone_number": "310-659-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD STE 202",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481844",
            "telephone_number": "310-659-1000",
            "fax_number": "310-659-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINAR WAGNER DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "DARYL JANE",
        "authorized_official_title_or_position": "BILLING CONSULTANT",
        "authorized_official_telephone_number": "213-268-5665"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.