NPIMap

Organization Active NPI

Nagwa Metias DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1861691495
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D44942 Issued in CA
Legal business name
NAGWA METIAS DDS INC
Practice address
12563 Venice Blvd
Los Angeles, CA 90066-3712
Phone
(310) 390-2423
Fax
(310) 636-4410
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dr. Nagwa Ghali MetiasNPI 1366540825
Title
Dentist
Phone
(310) 390-2423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D44942 CA Primary

Addresses

Primary practice location

12563 Venice Blvd
Los Angeles, CA 90066-3712

Mailing address

12456 Venice Blvd
Los Angeles, CA 90066-3804
Phone (310) 390-2423

Other names 1

  • Venice Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

12456 Venice Blvd
Los Angeles, CA 90066
Phone (310) 390-2423

12563 Venice Blvd
Los Angeles, CA 90066
Phone (310) 390-2423

Practitioners & affiliated clinicians

Practitioners 4

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1861691495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12456 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663804",
            "telephone_number": "310-390-2423",
            "fax_number": "310-636-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12563 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663712",
            "telephone_number": "310-390-2423",
            "fax_number": "310-636-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGWA METIAS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "METIAS",
        "authorized_official_first_name": "NAGWA",
        "authorized_official_middle_name": "GHALI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-390-2423",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D44942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venice Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Venice 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 Dec 30, 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.