Active NPI
Brigitta Mercedes De Czito, DDS
- Dentist
- Santa Monica, CA
National Provider Identifier
1396015822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35483
- Practice address
- 2901 Wilshire Blvd
Suite 225
Santa Monica, CA 90403-4901 - Phone
- (310) 829-2482
- Fax
- (310) 829-5231
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 35483 | CA | Primary |
Addresses
Primary practice location
2901 Wilshire Blvd
Suite 225
Santa Monica, CA 90403-4901
Mailing address
2901 Wilshire Blvd
Suite 225
Santa Monica, CA 90403-4901
Phone (310) 829-2482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35483 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1396015822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 WILSHIRE BLVD",
"address_2": "SUITE 225",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034901",
"telephone_number": "310-829-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 WILSHIRE BLVD",
"address_2": "SUITE 225",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034901",
"telephone_number": "310-829-2482",
"fax_number": "310-829-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CZITO",
"first_name": "BRIGITTA",
"middle_name": "MERCEDES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.