Katina Arianna Magdos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64361 Issued in CA

Practice address

1197 E Los Angeles Ave Ste E
Simi Valley, CA 93065

Phone

(805) 583-5700

Fax

(805) 583-5775

NPI assigned

Jul 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Katina Arianna Landon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Setarehshenas Dental Corporation

  • General Practice Dentistry
  • Simi Valley, CA
  • NPI 1821196213
  NPD (past)

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1063896033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 E LOS ANGELES AVE STE E",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652868",
            "telephone_number": "805-583-5700",
            "fax_number": "805-583-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 E LOS ANGELES AVE STE E",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-583-5700",
            "fax_number": "805-583-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDOS",
        "first_name": "KATINA",
        "middle_name": "ARIANNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-19",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6621",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATINA",
            "last_name": "LANDON",
            "middle_name": "ARIANNA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennyson Scott Macdonald
• Elizabeth Maciel-Lopez
• Mad Hatters Family Counseling Inc
• Cheyenne Madrigal, MS, CC-SLP
• Hennessey Alexis Magdaleno
• Maggie'S Pharmacy Inc
• Maggie'S Pharmacy Inc
• Patricia Mae Bernardo Magnaye
• Magnificent Healtcare Systems, Inc
• Jill Magoffin

• General Practice Dentistry in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.