Dmitry Vladimir Dolgov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105795 Issued in CA

Practice address

1304 15TH St Ste 209
Santa Monica, CA 90404-1811

Phone

(310) 395-1810

NPI assigned

Nov 16, 2020

Sex

Male

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

Practice roles

Locations

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.

• Larbi DDS Corp

  • Dental Clinic/Center
  • Santa Monica, CA
  • NPI 1295462513
  NPD
• Nazila Satvat DDS Inc

  • Dental Clinic/Center
  • Santa Monica, CA
  • NPI 1245746452
  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1629670419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 S REXFORD DR APT 302",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124750",
            "telephone_number": "614-551-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST STE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041811",
            "telephone_number": "310-395-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGOV",
        "first_name": "DMITRY",
        "middle_name": "VLADIMIR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Heller Dobeck, RDH
• Doctor TLC, License Clinical Psychologist, Inc.
• Doctors and Nurses to the World Foundation
• Peter W. Doerken, D.D.S.
• Eric Jay Dolgin, D.O.
• Lauren Anne Dolinsky, LMFT
• Margaret Louise Dominguez, PH.D.
• Dana Marie Donahoe, AMFT
• Donald L Morton MD & Associates Medical Group
• Sapana D Donde, M.PHIL.

• All providers in Santa Monica, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.