NPIMap

Organization Active NPI

Bertram B. Amiri DDS Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1972917052
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34586 Issued in CA
Legal business name
BERTRAM B. AMIRI DDS INC.
Doing business as
Gentle Care Dental
Practice address
3500 Whittier Blvd
101
Los Angeles, CA 90023-1746
Phone
(323) 264-8834
Fax
(323) 264-0885
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Bertram Amiri, DDS
Title
President
Phone
(323) 264-8834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 34586 CA Primary

Addresses

Primary practice location

3500 Whittier Blvd
101
Los Angeles, CA 90023-1746

Mailing address

3500 Whittier Blvd
101
Los Angeles, CA 90023-1746
Phone (323) 264-8834

Other names 1

  • Gentle Care Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1972917052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WHITTIER BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231746",
            "telephone_number": "323-264-8834",
            "fax_number": "323-264-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WHITTIER BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231746",
            "telephone_number": "323-264-8834",
            "fax_number": "323-264-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTRAM B. AMIRI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "AMIRI",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-264-8834",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Care Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

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