Nikolin Spiro Bimbli, D.D.S
Dentist, General Practice in Hawthorne, CA. Individual provider (NPI-1).
NPI number1992906242
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1992906242
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nikolin Spiro Bimbli
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2007
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 44147 | CA | Yes |
| 1223G0001X | Dentist, General Practice | CA44147 | CA |
Practice location
13901 S. Hawthorne BlvdHawthorne, CA 90250
Phone 310-675-5050 · Fax 310-675-5063
Mailing address
13901 S. Hawthorne BlvdHawthorne, CA 90250
Phone 310-675-5050 · Fax 310-675-5063
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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