Bayani Pour Dental Partnership

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BAYANI POUR DENTAL PARTNERSHIP

Practice address

17130 Ventura Blvd # 150
Encino, CA 91316-4003

Phone

(818) 357-2255

NPI assigned

May 10, 2023

Last updated

Dec 7, 2023By 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

Macy Pour, DDSNPI 1457087579

Title

Partner Owner

Phone

(310) 906-8972

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Macy Pour, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1457087579
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1982394169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 FARLIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493014",
            "telephone_number": "310-906-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 VENTURA BLVD # 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164003",
            "telephone_number": "818-357-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYANI POUR DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "POUR",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "310-906-8972",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.