Active NPI
Ekaterina Gabashvili, DMD
- Dentist
- Culver City, CA
National Provider Identifier
1821786997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109303
- Practice address
- 10814 Jefferson Blvd Ste G
Culver City, CA 90230-4988 - Phone
- (310) 204-0440
- NPI assigned
- Apr 26, 2023
- Last updated
- Jan 8, 2025
- 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 | 109303 | CA | Primary |
Addresses
Primary practice location
10814 Jefferson Blvd Ste G
Culver City, CA 90230-4988
Mailing address
10814 Jefferson Blvd Ste G
Culver City, CA 90230-4988
Phone (310) 204-0440
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekaterina Gabashvili DMD, Inc. | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1821786997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10814 JEFFERSON BLVD STE G",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304988",
"telephone_number": "310-204-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10814 JEFFERSON BLVD STE G",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304988",
"telephone_number": "310-204-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABASHVILI",
"first_name": "EKATERINA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.