PHD DENTAL GROUP
NPI 1396096228
Dentist - General Practice in Lynwood, CA
About Phd Dental Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHD DENTAL GROUP (NPI 1396096228) is a healthcare organization registered as a general practice in Lynwood, California and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Lynwood and lists Pedram Bina, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phd Dental Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Phd Dental Group, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bina, Korouri, Sage Dental Corporation's NPI number?
The NPI number for Bina, Korouri, Sage Dental Corporation is 1396096228. It was assigned to this organization in the NPPES registry on October 2, 2012. The provider is doing business as Phd Dental Group.
Where is Bina, Korouri, Sage Dental Corporation located?
Bina, Korouri, Sage Dental Corporation is located at 3737 Martin Luther King Jr Blvd Ste 106, Lynwood, CA 90262. The listed phone number is (310) 631-1111.
What is Bina, Korouri, Sage Dental Corporation's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Bina, Korouri, Sage Dental Corporation enrolled in Medicare?
Yes. Bina, Korouri, Sage Dental Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bina, Korouri, Sage Dental Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to Bina, Korouri, Sage Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bina, Korouri, Sage Dental Corporation was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Phd Dental Group · NPI 1396096228
General Practice organization in Lynwood, California. Organization record, active in the CMS NPPES registry since October 2, 2012.
## Identity
- **NPI:** 1396096228 (Entity type: Organization)
- **Enumerated:** October 2, 2012
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Legal business name:** Bina, Korouri, Sage Dental Corporation
- **Organization subpart:** No
- **Authorized official:** Pedram Bina, CEO
## Practice location
- **Address:** 3737 MARTIN LUTHER KING JR BLVD STE 106, Lynwood, CA 90262-3524
- **Phone:** (310) 631-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396096228) · Data from the CMS NPPES public registry.