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DR. JONATHAN MARC GIDAN DDS
NPI 1164639803
Dentist - Pediatric Dentistry in North Hollywood, CA

Active since May 16, 2007PECOS Enrolled
12840 RIVERSIDE DR, #504, NORTH HOLLYWOOD, CA 91607(818) 506-2424(818) 563-6789 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Marc Gidan Dds NPPES

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

DR. JONATHAN MARC GIDAN DDS (NPI 1164639803) is an individual pediatric dentistry provider in North Hollywood, California, licensed in California (29280) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164639803
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JONATHAN MARC GIDANCredential: DDS
Location Address12840 RIVERSIDE DR, #504North Hollywood, CA 91607-3327
Mailing Address12840 Riverside Dr, #504North Hollywood, CA 91607-3327 · (818) 506-2424 · Fax (818) 563-6789
Phone(818) 506-2424
Fax(818) 563-6789
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164639803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 29280
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
12840 RIVERSIDE DR, North Hollywood, CA 91607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Jonathan Marc Gidan 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 91607 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEON G ROBB MD A PROF CORP
Pain Medicine (Pain Medicine)
12840 RIVERSIDE DR, SUITE 208
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 506-5197
EASTERN MEDICAL HEALTH GROUP
Acupuncturist
12840 RIVERSIDE DR, SUITE 401
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 432-1470
H AND M MANAGEMENT AND DIAGNOSTIC INC
Radiologic Technologist (Radiography)
12840 RIVERSIDE DR
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 980-6500
MARIN CRIVELLO
Nurse Practitioner (Family)
12840 RIVERSIDE DR
STUDIO CITY, CA 91607
Los Angeles County (323) 900-5746
MARGARET ANN KRPAN DC
Chiropractor
12840 RIVERSIDE DR, STE 201
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 388-0769
VIDA LIFE ACUPUNCTURE MEDICAL CARE
Acupuncturist
12840 RIVERSIDE DR, 401
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 453-4074
KENNETH P. CARTWRIGHT,M.D.,INC.
Clinic/Center (Primary Care)
12840 RIVERSIDE DR, SUITE 300
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 655-9900
DR. FREDERIC CARL MANDELL DDS
Dentist
12840 RIVERSIDE DR, SUITE 508
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 506-2424

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 Jonathan Gidan's NPI number?

The NPI number for Jonathan Gidan is 1164639803. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jonathan Gidan located?

Jonathan Gidan practices at 12840 Riverside Dr #504, North Hollywood, CA 91607. The listed phone number is (818) 506-2424.

What is Jonathan Gidan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jonathan Gidan enrolled in Medicare?

Yes. Jonathan Gidan is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Gidan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jonathan Gidan 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 Jonathan Gidan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.