Nicole Shirin Arieh, DDS
Individual provider Active NPI Dentist · West Hills, CA
NPI 1154093623 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1154093623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS106690 (CA)
- Practice address
- 8300 Valley Circle Blvd Ste B
West Hills, CA 91304-3023 - Phone
- (818) 348-6068
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220818001599 | CA | Order and Referring Only - Dentist |
9335522671 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS106690 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough Dental Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS106690 | CA | Yes |
Addresses
Primary practice location
8300 Valley Circle Blvd Ste B
West Hills, CA 91304-3023
Mailing address
11693 San Vicente Blvd # 433
Los Angeles, CA 90049-5105
Phone (310) 738-0677
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.