DR. JACK I. BROWN, DDS, INC (NPI# 1033121405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033121405 |
| Entity Type | Organization |
| Organization Name | DR. JACK I. BROWN, DDS, INC |
| Practice Address |
416 N Bedford Dr Suite 103 Beverly Hills CA 90210-4322 |
| Practice Telephone | 3102789624 |
| Practice Fax Number | 3102780695 |
| Mailing Telephone | 3102789624 |
| Mailing Fax Number | 3102780695 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY R. ALSOBROOK (OFFICE MANAGER) |
| Authorized Official Telephone | 3102789624 |
| Authorized Official Credential | RDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
18295 | CA | Dental Providers |
| Street Address |
416 N BEDFORD DR SUITE 103 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800747 | Laura Eve Fox | Ophthalmology | 416 N Bedford Dr, #300, Beverly Hills, CA 90210-4322 | 2005-12-06 |
| 1154873560 | Luxe Surgery Center, Corp | Clinic/Center | 416 N Bedford Dr, Suite 210, Beverly Hills, CA 90210-4322 | 2016-11-02 |
| 1760937130 | Plastic Surgery Practice At Beverly Hills, PC | Plastic Surgery | 416 N Bedford Dr, Suite 306, Beverly Hills, CA 90210-4322 | 2016-08-16 |
| 1093268757 | Richard E Sprague, Dds, Inc | Dentist | 416 N Bedford Dr, Suite 103, Beverly Hills, CA 90210-4322 | 2016-07-29 |
| 1013306430 | Harel Simon | Dentist | 416 N Bedford Dr, Suite #404, Beverly Hills, CA 90210-4322 | 2015-01-22 |
| 1063856672 | Peiman Soleymani | Dentist | 416 N Bedford Dr, Suite 209, Beverly Hills, CA 90210-4322 | 2013-04-25 |
| 1881939080 | Beverly Hills Institute of Ophthalmology | Ophthalmology | 416 N Bedford Dr, Suite 300, Beverly Hills, CA 90210-4322 | 2012-11-29 |
| 1417291485 | Charles Vaziri | Dentist | 416 N Bedford Dr, Suite 408, Beverly Hills, CA 90210-4322 | 2012-11-15 |
| 1932458684 | Catrina Rodriguez | Dentist | 416 N Bedford Dr, Beverly Hills, CA 90210-4322 | 2012-09-07 |
| 1013271105 | Smile 90210 LLC | Dentist | 416 N Bedford Dr, Suite 102, Beverly Hills, CA 90210-4322 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205143427 | Jay A. Solnit | Dentist | 414 North Camden #950, Beverly Hills, CA 90210 | 2010-09-09 |
| 1487961603 | Lewis H. Overbey | Dentist | 414 North Camden Drive #950, Beverly Hills, CA 90230 | 2010-09-09 |
| 1851522866 | Saman Deljoui | Dentist | 9100 Wilshire Blvd Ste 448w, Beverly Hills, CA 90212-3473 | 2009-08-07 |
| 1275731648 | Paul Anstey | Dentist | 436 N Roxbury Dr Ste 211, Beverly Hills, CA 90210-5017 | 2007-07-06 |
| 1356548358 | Farshid Sean Fahid | Dentist | 436 N Bedford Dr Ste 208, Beverly Hills, CA 90210-4312 | 2007-07-02 |
| 1043396450 | Anastasios S Angelidis | Dentist | 436 North Roxbury Drive, Suite 211, Beverly Hills, CA 90210 | 2006-10-27 |
| 1033124615 | Overby & Solnit | Dentist | 414 North Camden Drive, #950, Beverly Hills, CA 90210 | 2006-07-30 |
| 1306384789 | Beverly Hills Specialty Dental Care | Dentist | 9301 Wilshire Blvd, #407, Beverly Hills, CA 90210-5424 | 2017-02-07 |
| 1770885378 | Ahmad Fahid | Dentist | 436 N Bedford Dr Ste 208, Beverly Hills, CA 90210-4312 | 2010-12-02 |
| 1699939702 | Maziyar Ebrahimi | Dentist | 9735 Wilshire Blvd, 426, Beverly Hills, CA 90212-2107 | 2008-07-17 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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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.