Active NPI
Peter Von Power, DDS, DMD
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1114084308
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34398
- Practice address
- 2110 E Cesar E Chavez Ave
Los Angeles, CA 90033-1823 - Phone
- (323) 262-1555
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34398 | CA | Primary |
Addresses
Primary practice location
2110 E Cesar E Chavez Ave
Los Angeles, CA 90033-1823
Mailing address
2110 E Cesar E Chavez Ave
Los Angeles, CA 90033-1823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9388801 | Medicaid | CA |
Other names 1
- Peter Ovtscharov
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34398 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Peter Von Power DDS MD | General Practice | 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.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1710167648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114084308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331823",
"telephone_number": "323-262-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON POWER",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DDS, DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9388801",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PETER",
"last_name": "OVTSCHAROV",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
- Sieglinde Von Deffner
- Olivia Mae Von Flue
- Michelle Von Gunten, NP
- Anna-Diana Friederike Von Haumeder, MS
- Catherine Von Power, DDS DMD
- Elizabeth Von Schlegell, LMFT
- Andrea Von Troschke, M.F.T., A.T.R.
- Hans Friedrich Daniel Von Walter, MD
- Von Westernhagen Dental Corporation
- Von Westernhagen Dental Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.