Active NPI
Stela Ninkova Dimitrova-Munro I, DDS
- Dentist
- Santa Monica, CA
National Provider Identifier
1811175318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56296
- Practice address
- 3435 Ocean Park Bulv.
Suite205
Santa Monica, CA 90405 - Phone
- (877) 375-4559
- NPI assigned
- Feb 6, 2008
- Last updated
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56296 | CA | Primary |
Addresses
Primary practice location
3435 Ocean Park Bulv.
Suite205
Santa Monica, CA 90405
Mailing address
2817 E Yucca St
Phoenix, AZ 85028-2628
Phone (602) 996-8066
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56296 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1811175318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 E YUCCA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282628",
"telephone_number": "602-996-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 OCEAN PARK BULV.",
"address_2": "SUITE205",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90405",
"telephone_number": "877-375-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMITROVA-MUNRO",
"first_name": "STELA",
"middle_name": "NINKOVA",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Digestive Health Associates of Southern California
- Digestive Health Associates of Southern California
- Digestive Health Associates of Southern California
- Uzoamaka Kimberly Ezendu Dike, M.D.
- Kira Dimitroff
- Rebecca Dimundo, MD
- Dino T. Deconcini MD Inc
- Melissa Ann Dinolfo, PHARM.D.
- Carrie Dinow
- Sydney Diop
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.