Individual provider Active NPI

Margarita Metrikina, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1003253576
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46888 Issued in CA
Practice address
7315 W Sunset Blvd
Ste B
Los Angeles, CA 90046-3421
Phone
(323) 876-9222
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46888 CA Primary

Addresses

Primary practice location

7315 W Sunset Blvd
Ste B
Los Angeles, CA 90046-3421

Mailing address

7315 W Sunset Blvd
Ste B
Los Angeles, CA 90046-3421
Phone (323) 876-9222

Other identifiers 1

IdentifierTypeStateIssuer
G93322OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118000893 CA Order and Referring Only - DentistPractitioner - DentistPractitioner - Family Practice 6507166816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita Metrikina, DDS, a Professional Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1003253576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 W SUNSET BLVD",
            "address_2": "STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463421",
            "telephone_number": "323-876-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 W SUNSET BLVD",
            "address_2": "STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463421",
            "telephone_number": "323-876-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METRIKINA",
        "first_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.