1. Home
  2. Directory
  3. California
  4. Venice
  5. Dentist
  6. NPI Profile

DYLAN BOOTH DDS
NPI 1033629837
Dentist in Venice, CA

Active since October 05, 2017PECOS Enrolled
601 VERNON AVE, VENICE, CA 90291(925) 786-1221 Get Directions Write a Review

NPPES record last updated: May 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Booth Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN BOOTH DDS (NPI 1033629837) is an individual dentist in Venice, California, licensed in California (101586) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1033629837
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDYLAN BOOTHCredential: DDS
Location Address601 VERNON AVEVenice, CA 90291
Mailing Address4045 Via Marina # L310Marina Del Rey, CA 90292-6247 · (925) 786-1221
Phone(925) 786-1221
Sole ProprietorNo
Enumeration DateOctober 5, 2017
Last NPPES UpdateMay 13, 2018
✔ NPI 1033629837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 101586
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
601 VERNON AVE, Venice, CA 90291
Open in Google Maps ↗

Secondary Practice Location 1

Location 1462 1st AveNew York, NY 10016-9196 · Phone (212) 562-4891

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Booth Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Booth's NPI number?

The NPI number for Dylan Booth is 1033629837. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Dylan Booth located?

Dylan Booth practices at 601 Vernon Ave, Venice, CA 90291. The listed phone number is (925) 786-1221.

What is Dylan Booth's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dylan Booth enrolled in Medicare?

Yes. Dylan Booth is registered in the Medicare PECOS enrollment system.

What insurance does Dylan Booth accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 6 other insurers list Dylan Booth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Booth was last updated on May 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.