Aditi Pravin Kotyankar

Primary specialty

DentistTaxonomy code 122300000X

License

019.035479 Issued in IL

Practice address

1421 Midvale Ave Apt 201
Los Angeles, CA 90024-5433

Phone

(913) 219-9936

NPI assigned

Sep 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: aditi.kotyankar.1@25900.direct.athenahealth.com

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1578397402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MIDVALE AVE APT 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245433",
            "telephone_number": "913-219-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MIDVALE AVE APT 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245433",
            "telephone_number": "913-219-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTYANKAR",
        "first_name": "ADITI",
        "middle_name": "PRAVIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masha Kotlyarevskiy
• Emi Kotoh, NNP
• Angelica Kotsoni
• Haleigh Cole Kotter, M.D.
• Ryan H. Kotton, M.D.
• Aretha Kou, DO
• Sarah Kouchak-Eftekhar
• Haleh Kouchmeshki, PSYD
• Manoochehr Koukhab, M.D.
• Kristyan M Kouri

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.