Oleg Krutikov DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

48733 Issued in CA

Legal business name

OLEG KRUTIKOV DDS INC

Practice address

6280 Van Noord Ave
Valley Glen, CA 91401-3226

Phone

(818) 908-0188

Fax

(818) 908-0188

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Oleg Krutikov, DDSNPI 1093907354

Title

President Dentist

Phone

(818) 908-0188

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oleg G Krutikov, DDS

  • Dentist
  • N Hollywood, CA
  • NPI 1093907354
  NPD (past) Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699807404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 VAN NOORD AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "914013226",
            "telephone_number": "818-908-0188",
            "fax_number": "818-908-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 VAN NOORD AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "914013226",
            "telephone_number": "818-908-0188",
            "fax_number": "818-908-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEG KRUTIKOV DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUTIKOV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "818-908-0188",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Joseph Mestas, ATC
• Melissa Irene Miller, M.A.
• Lyndsey Milton
• Sairy Molina
• Michael Jesse Monge, RT
• Khachik Chris Papazyan, ASSOCIATES DEGREE
• Paradise Point Care Center, Inc
• Zelene Perez
• Elaine Elise Robertson, IBCLC
• Diane Salgado

• Dentist in Valley Glen, CA
• Providers in Valley Glen, CA by specialty
• Dentist in California

• 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.