1. Home
  2. Directory
  3. California
  4. Marina Del Rey
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POOJA KRISHNASWAMY DDS
NPI 1205523206
Dentist - General Practice in Marina Del Rey, CA

Active since April 19, 2023PECOS Enrolled
4553 GLENCOE AVE STE 310, MARINA DEL REY, CA 90292(310) 412-9291 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2026, Nov 18, 2024 (2 updates tracked since 2024).

About Pooja Krishnaswamy Dds NPPES

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

POOJA KRISHNASWAMY DDS (NPI 1205523206) is an individual general practice provider in Marina Del Rey, California, licensed in California (DDS110388) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205523206
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePOOJA KRISHNASWAMYCredential: DDS
Location Address4553 GLENCOE AVE STE 310Marina Del Rey, CA 90292-7906
Mailing Address3913 Veneto CirLeander, TX 78641-3720 · (512) 810-8149
Phone(310) 412-9291
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 19, 2023
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1205523206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS110388
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4553 GLENCOE AVE STE 310, Marina Del Rey, CA 90292
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooja Krishnaswamy Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456846989
PECOS Enrollment IDI20251222001459
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 90292 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 Pooja Krishnaswamy's NPI number?

The NPI number for Pooja Krishnaswamy is 1205523206. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Pooja Krishnaswamy located?

Pooja Krishnaswamy practices at 4553 Glencoe Ave Ste 310, Marina Del Rey, CA 90292. The listed phone number is (310) 412-9291.

What is Pooja Krishnaswamy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Pooja Krishnaswamy enrolled in Medicare?

Yes. Pooja Krishnaswamy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pooja Krishnaswamy was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.