Organization Active NPI

Raffi R Barsam DMD Cosmetic and General Dentistry

  • Preferred Provider Organization
  • Sherman Oaks, CA
National Provider Identifier
1992985808
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
52828 Issued in CA
Legal business name
RAFFI R BARSAM DMD COSMETIC AND GENERAL DENTISTRY
Practice address
4530 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010
Phone
(818) 971-4600
Fax
(818) 971-4603
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Raffi R Barsam, DMDNPI 1982704524
Title
Owner Doctor
Phone
(818) 971-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 52828 CA Primary

Addresses

Primary practice location

4530 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010

Mailing address

4530 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010
Phone (818) 971-4600

Other names 1

  • Sherman Oaks Dental Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

4530 Sherman Oaks Ave
Sherman Oaks, CA 91403
Phone (818) 971-4600

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1992985808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033010",
            "telephone_number": "818-971-4600",
            "fax_number": "818-971-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033010",
            "telephone_number": "818-971-4600",
            "fax_number": "818-971-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI R BARSAM DMD COSMETIC AND GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BARSAM",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "818-971-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "52828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Oaks Dental Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

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