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DR. JEFFREY DAVID WATERMAN D.D.S.
NPI 1306916275
Dentist - Periodontics in Los Angeles, CA

Active since November 08, 2006PECOS Enrolled
1964 WESTWOOD BLVD, SUITE 200, LOS ANGELES, CA 90025(310) 441-1141(310) 446-4715 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeffrey David Waterman D.d.s. NPPES

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

DR. JEFFREY DAVID WATERMAN D.D.S. (NPI 1306916275) is an individual periodontics provider in Los Angeles, California, licensed in California (023396) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306916275
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JEFFREY DAVID WATERMANCredential: D.D.S.
Location Address1964 WESTWOOD BLVD, SUITE 200Los Angeles, CA 90025-4651
Mailing Address1964 Westwood Blvd, Suite 200Los Angeles, CA 90025-4651 · (310) 441-1141 · Fax (310) 446-4715
Phone(310) 441-1141
Fax(310) 446-4715
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306916275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 023396
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1964 WESTWOOD BLVD, Los Angeles, CA 90025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey David Waterman D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

MISS SARAH KNOWLTON
Marriage & Family Therapist
1964 WESTWOOD BLVD, SUITE 400
LOS ANGELES, CA 90025
Los Angeles County (310) 360-0041
SAND COSMETIC INC
Preventive Medicine (Public Health & General Preventive Medicine)
1964 WESTWOOD BLVD, SUITE #125
LOS ANGELES, CA 90025
Los Angeles County (310) 441-2263
MRS. MURIEL WATERMAN MSW
Social Worker (Clinical)
1964 WESTWOOD BLVD, SUITE 202
LOS ANGELES, CA 90025
Los Angeles County (310) 475-0667
EVELYN FRYE DDS
Dentist
1964 WESTWOOD BLVD, SUITE 250
LOS ANGELES, CA 90025
Los Angeles County (310) 475-1667
DR. SCOTT STEVEN KUBOTA DDS
Dentist
1964 WESTWOOD BLVD, #250
LOS ANGELES, CA 90025
Los Angeles County (310) 475-1667
STEPHANY TURNER PSYCHOLOGIST
Psychologist
1964 WESTWOOD BLVD, SUITE 310
LOS ANGELES, CA 90025
Los Angeles County (424) 999-8884
WESTWOOD HEALILNG LLC
Clinic/Center (Ambulatory Surgical)
1964 WESTWOOD BLVD, SUITE #436
LOS ANGELES, CA 90025
Los Angeles County (310) 856-9488
DAVID PLOTKIN
Specialist
1964 WESTWOOD BLVD, SUITE 310
LOS ANGELES, CA 90025
Los Angeles County (424) 208-3426

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 Jeffrey Waterman's NPI number?

The NPI number for Jeffrey Waterman is 1306916275. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Jeffrey Waterman located?

Jeffrey Waterman practices at 1964 Westwood Blvd Suite 200, Los Angeles, CA 90025. The listed phone number is (310) 441-1141.

What is Jeffrey Waterman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jeffrey Waterman enrolled in Medicare?

Yes. Jeffrey Waterman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Waterman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.