Active NPI
Armin Koleti
- Dentist
- Lakewood, CA
National Provider Identifier
1083392385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111696
- Practice address
- 5129 Candlewood St
Lakewood, CA 90712-1921 - Phone
- (562) 867-0027
- NPI assigned
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111696 | CA | Primary |
Addresses
Primary practice location
5129 Candlewood St
Lakewood, CA 90712-1921
Mailing address
705 W 9TH St Apt 2501
Los Angeles, CA 90015-1991
Phone (310) 383-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111696 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1083392385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 W 9TH ST APT 2501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151991",
"telephone_number": "310-383-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5129 CANDLEWOOD ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121921",
"telephone_number": "562-867-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLETI",
"first_name": "ARMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-06",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.