JASON V KBOUDI D.D.S.
NPI 1003999707
Dentist - General Practice in Beverly Hills, CA

Q: What is Jason Kboudi's NPI number?

The NPI number for Jason Kboudi is 1003999707. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Jason Kboudi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kboudi was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2006

8641 WILSHIRE BLVD STE 205, BEVERLY HILLS, CA 90211(310) 626-1212(310) 626-0111 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jason V Kboudi D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON V KBOUDI D.D.S. (NPI 1003999707) is an individual general practice provider in Beverly Hills, California, licensed in Texas (19485) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1003999707

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJASON V KBOUDICredential: D.D.S.

Location Address8641 WILSHIRE BLVD STE 205Beverly Hills, CA 90211-2920

Mailing Address8641 Wilshire Blvd Ste 205Beverly Hills, CA 90211-2920 · (310) 626-1212 · Fax (310) 626-0111

Phone(310) 626-1212

Fax(310) 626-0111

Sole ProprietorYes

Enumeration DateOctober 24, 2006

Last NPPES UpdateJanuary 21, 2022

NPPES CertifiedJanuary 21, 2022

✔ NPI 1003999707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in TX · 19485✔ Licensed in TX · 13322

Definition

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.

8641 WILSHIRE BLVD STE 205, Beverly Hills, CA 90211

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Other Identifiers 2

Other82D611TX · Blue Cross Blue Shield

Other803551TX · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON V. KBOUDI, DDS, INC.

Dentist (General Practice)

8641 WILSHIRE BLVD STE 205
BEVERLY HILLS, CA 90211

Los Angeles County (310) 626-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Kboudi's NPI number?

The NPI number for Jason Kboudi is 1003999707. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Jason Kboudi located?

Jason Kboudi practices at 8641 Wilshire Blvd Ste 205, Beverly Hills, CA 90211. The listed phone number is (310) 626-1212.

What is Jason Kboudi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jason Kboudi accept?

Health plans from Humana and Renaissance Dental list Jason Kboudi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Kboudi was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.