Amy Gabriela Dimitrakopoulos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62598 Issued in CA

Practice address

500 E Olive Ave
Suite 430
Burbank, CA 91501-3316

Phone

(818) 567-4662

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behzad Shirazi Ardestani Inc a Professional Dental Corporation

  • Dental Clinic/Center
  • Burbank, CA
  • NPI 1003082074
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1932535366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SOUTHRIDGE DR",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913773845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE",
            "address_2": "SUITE 430",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013316",
            "telephone_number": "818-567-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRAKOPOULOS",
        "first_name": "AMY GABRIELA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Concetta Diflorio, MS
• Digestive Health Conslts Medical Group Inc.
• Dignitonic Home Care LLC
• Hannah Dillon
• Susan Dimartini, PHYSICAL THERAPIST
• Emma Dishoyan
• Ashley Crystal Divas
• Divine Hospice and Palliative Care Inc
• Aisha Dixon-Peters, PSY.D.
• Carol Dixon

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.