KELLY CHEN VITZTHUM DDS
NPI 1437779220
Dentist - General Practice in Los Angeles, CA
About Kelly Chen Vitzthum Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CHEN VITZTHUM DDS (NPI 1437779220) is an individual general practice provider in Los Angeles, California, licensed in California (107512) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Chen Vitzthum Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Kelly Vitzthum's NPI number?
The NPI number for Kelly Vitzthum is 1437779220. It was assigned to this individual provider in the NPPES registry on April 21, 2020.
Where is Kelly Vitzthum located?
Kelly Vitzthum practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (310) 825-6510.
What is Kelly Vitzthum's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kelly Vitzthum enrolled in Medicare?
Yes. Kelly Vitzthum is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Vitzthum was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelly Chen Vitzthum, DDS · NPI 1437779220
General Practice provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 21, 2020.
## Identity
- **NPI:** 1437779220 (Entity type: Individual)
- **Enumerated:** April 21, 2020
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 107512 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, Los Angeles, CA 90095-8361
- **Phone:** (310) 825-6510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Univ Of Calif, Los Angeles School Of Dentistry, class of 2020
## Record status
- **NPPES last updated:** January 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437779220) · Data from the CMS NPPES public registry.