Frank Mario Antonio Vidjak, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

33397 Issued in CA

Practice address

465 N Roxbury Dr
Suite # 703
Beverly Hills, CA 90210-4206

Phone

(310) 248-2786

Fax

(310) 248-2886

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982757100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "address_2": "SUITE # 703",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-248-2786",
            "fax_number": "310-248-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "address_2": "SUITE # 703",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-248-2786",
            "fax_number": "310-248-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDJAK",
        "first_name": "FRANK",
        "middle_name": "MARIO ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "33397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghazal Vessal, PHARMACIST
• Vicki Rapaport, M.D., a Professional Corporation (Rapaport Dermatology of Beverly Hills)
• Victor Gura MD, Inc (Medipace Medical Group)
• Victor Zhu, M.D., P.C.
• Victoria Cohen-Gadol, D.D.S, Inc.
• Katarina Nevena Vidovic
• Viha Medical, Inc., a Professional Corporation
• Village Learning LLC (Village Learning)
• Catrien H Villamil, LMFT
• Mariel Villanueva

• Prosthodontics in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.