Individual provider Active NPI

Dawn Agustines Abdul Karim, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1689380222
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108120 Issued in CA
Practice address
4201 Wilshire Blvd Ste 112
Los Angeles, CA 90010-3602
Phone
(323) 939-9898
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108120 CA Primary

Addresses

Primary practice location

4201 Wilshire Blvd Ste 112
Los Angeles, CA 90010-3602

Mailing address

1838 Sunny Heights Dr
Los Angeles, CA 90065-3323

Other names 1

  • Dawn Jacobe Agustines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1689380222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 SUNNY HEIGHTS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WILSHIRE BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103602",
            "telephone_number": "323-939-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL KARIM",
        "first_name": "DAWN",
        "middle_name": "AGUSTINES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "AGUSTINES",
            "middle_name": "JACOBE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 26, 2023; 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.