BEHNAM B. BASERI, DDS. INC. (NPI# 1891110219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891110219 |
| Entity Type | Organization |
| Organization Name | BEHNAM B. BASERI, DDS. INC. |
| Practice Address |
269 S Beverly Dr 108 Beverly Hills CA 90212-3851 |
| Practice Telephone | 4242229202 |
| Mailing Telephone | 4242229202 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | DR. BEHNAM BERNARD BASERI (OWNER) |
| Authorized Official Telephone | 3108774767 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
62519 | CA | Dental Providers |
| N | 122300000X | Dentist | 62519 | CA | Dental Providers |
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
62519 | CA | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
62519 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
62519 | CA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
62519 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
62519 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
62519 | CA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 62519 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
62519 | CA | Dental Providers |
| Street Address |
269 S BEVERLY DR 108 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033155874 | Robert Michael Williams | Internal Medicine | 269 S Beverly Dr, Suite 588, Beverly Hills, CA 90212-3851 | 2006-06-21 |
| 1033450721 | Tzur S Gabi | Dentist | 269 S Beverly Dr, Ste 914, Beverly Hills, CA 90212-3851 | 2013-03-06 |
| 1417216821 | Evolution Holistic Healthcare, Incorporated | Nutritionist | 269 S Beverly Dr, Ste 110, Beverly Hills, CA 90212-3851 | 2012-05-07 |
| 1942461397 | Ge Medical Services | Clinic/Center | 269 S Beverly Dr, Beverly Hills, CA 90212-3851 | 2008-06-18 |
| 1982802690 | California Heart and Lung Surgery Medical Center Inc | Surgery | 269 S Beverly Dr, #444, Beverly Hills, CA 90212-3807 | 2007-07-03 |
| 1043416175 | Majid Michael Sababi | Chiropractor | 269 S Beverly Dr, Beverly Hills, CA 90212-3851 | 2007-06-25 |
| 1447381082 | Melissa Lashield Smith | Marriage & Family Therapist | 269 S Beverly Dr, Suite #128, Beverly Hills, CA 90212-3851 | 2007-03-07 |
| 1205974318 | Shohreh Sabeti | Dentist | 269 S Beverly Dr, #644, Beverly Hills, CA 90212-3851 | 2007-02-01 |
| 1265451827 | Joseph Brady Bailey | Family Medicine | 269 S Beverly Dr, #1008, Beverly Hills, CA 90212-3851 | 2006-07-18 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541826 | Joshua Danoush | Dentist | 124 N Clark Dr Apt 301, Beverly Hills, CA 90211-1737 | 2020-09-01 |
| 1356951792 | Lauren Povitz | Dentist | 9735 Wilshire Blvd Ste 320, Beverly Hills, CA 90212-2111 | 2020-07-31 |
| 1538643390 | Eugene Alexander Goncharov | Dentist | 8950 W Olympic Blvd Ste 262, Beverly Hills, CA 90211-3565 | 2018-09-18 |
| 1942788377 | Michael M Kerendian | Dentist | 9794 Donington Pl, Beverly Hills, CA 90210-1103 | 2018-07-28 |
| 1992221527 | Victor Chan Wong | Dentist | 450 N Bedford Dr Ste 209, Beverly Hills, CA 90210-4306 | 2017-08-15 |
| 1235663642 | Sam Baradaran | Dentist | 8641 Wilshire Blvd Ste 125, Beverly Hills, CA 90211-2945 | 2017-04-13 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1356736060 | Mkhail Keselbrener | Dentist | 9025 Wilshire Blvd Ste 305, Beverly Hills, CA 90211-1827 | 2015-03-30 |
| 1093106627 | Lr Rifkin A Professional Corp | Dentist | 414 N Camden Dr Ste 1280, Beverly Hills, CA 90210-4512 | 2015-02-18 |
| 1164827721 | Shirin Shahedi | Dentist | 328 S Elm Drive, Beverly Hills, CA 90212 | 2014-10-24 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| 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.