MILES MADISON D D S INC (NPI# 1538662036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538662036 |
| Entity Type | Organization |
| Organization Name | MILES MADISON D D S INC |
| Practice Address |
350 S Beverly Dr Ste 160 Beverly Hills CA 90212-4815 |
| Practice Telephone | 3105532940 |
| Practice Fax Number | 3105535096 |
| Mailing Telephone | 3105532940 |
| Mailing Fax Number | 3105535096 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | MILES MADISON (OWNER) |
| Authorized Official Telephone | 3105532940 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
37446 | CA | Dental Providers |
| Street Address |
350 S BEVERLY DR STE 160 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929572 | Saman Harouni | Dentist | 350 S Beverly Dr Ste 160b, Beverly Hills, CA 90212-4811 | 2013-05-20 |
| 1669741286 | Fariborz Aframiyan Farnad Dmd, Inc | Dentist | 421 N Rodeo Dr # T8, Beverly Hills, CA 90210-4500 | 2011-12-28 |
| 1679726186 | Parvaz Farnad Mizrahi | Dentist | 99 N La Cienega Blvd Ste 308, Beverly Hills, CA 90211-2286 | 2008-10-28 |
| 1841499571 | Fariborz Aframiyan Farnad | Dentist | 421 North Rodeo Drive Suite T8, Beverly Hills, CA 90210 | 2007-07-12 |
| 1801913157 | Vladimir Polyakov, D.d.s, Inc. Oral and Maxillofacial Surgery | Dentist | 9735 Wilshire Blvd Ste 400, Beverly Hills, CA 90212-2103 | 2007-03-23 |
| 1871634949 | Kris Uyehara | Dentist | 9735 Wilshire Blvd Ste 314, Beverly Hills, CA 90212-2111 | 2007-02-09 |
| 1760565956 | Moris Aynechi | Dentist | 8920 Wilshire Blvd Ste 325, Beverly Hills, CA 90211-2011 | 2006-10-23 |
| 1003910142 | Gabriel Gabbaypour | Dentist | 465 N Roxbury Drive, #815, Beverly Hills, CA 90210 | 2006-09-11 |
| 1437173564 | Alan Harris Kaye | Dentist | 436 N Roxbury Dr, Suite 107, Beverly Hills, CA 90210-5026 | 2006-07-26 |
| 1780227157 | Dr Sam Harouni Inc | Dentist | 350 S Beverly Dr Ste 160b, Beverly Hills, CA 90212-4811 | 2019-10-17 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on MILES MADISON D D S INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.