Active NPI
Araxie Yetenekian-Gettas, D.M.D., Inc.
Doing business as Santa Monica Family Dental Group
- Dentist
- Los Angeles, CA
National Provider Identifier
1669691705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35186
- Legal business name
- ARAXIE YETENEKIAN-GETTAS, D.M.D., INC.
- Doing business as
- Santa Monica Family Dental Group
- Practice address
- 5828 Santa Monica Blvd
Los Angeles, CA 90038-2002 - Phone
- (323) 871-9191
- Fax
- (323) 871-2405
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Araxie Yetenekian-Gettas, D.M.D.
- Title
- President
- Phone
- (323) 871-9191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35186 | CA | Primary |
Addresses
Primary practice location
5828 Santa Monica Blvd
Los Angeles, CA 90038-2002
Mailing address
5828 Santa Monica Blvd
Los Angeles, CA 90038-2002
Phone (323) 871-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93782-02 | Medicaid | CA |
Other names 1
- Santa Monica Family Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Araxie Yetenekian-Gettas DMD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1376609032
-
- Dentist
- Glendale, CA
- NPI 1831310689
Locations
5828 Santa Monica Blvd
Los Angeles, CA 90038
Phone (323) 871-9191
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
- NPI 1528316205
-
- Dentist
- Los Angeles, CA
- NPI 1336294156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669691705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5828 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900382002",
"telephone_number": "323-871-9191",
"fax_number": "323-871-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5828 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900382002",
"telephone_number": "323-871-9191",
"fax_number": "323-871-2405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARAXIE YETENEKIAN-GETTAS, D.M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YETENEKIAN-GETTAS",
"authorized_official_first_name": "ARAXIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-871-9191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "35186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G93782-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Monica Family Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.