Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35186 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G93782-02MedicaidCA

Other names 1

  • Santa Monica Family Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Araxie Yetenekian-Gettas DMD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.