Individual provider Active NPI

Daniel J Ebrami, DDS

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1982115168
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101765 Issued in CA
Practice address
16311 Ventura Blvd Ste 640
Encino, CA 91436-4319
Phone
(310) 927-5166
Fax
(310) 927-5166
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 101765 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd Ste 640
Encino, CA 91436-4319

Mailing address

218 S Hamilton Dr
Beverly Hills, CA 90211-3404
Phone (310) 927-5166

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

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1982115168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S HAMILTON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113404",
            "telephone_number": "310-927-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 640",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364319",
            "telephone_number": "310-927-5166",
            "fax_number": "310-927-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAMI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.