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KATYA ARCHAMBAULT DMD
NPI 1700350485
Dentist - Oral and Maxillofacial Radiology in La Jolla, CA

Active since January 16, 2019PECOS EnrolledAccepts Medicare Assignment
9245 REGENTS RD UNIT M208, LA JOLLA, CA 92037(310) 307-6623 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katya Archambault Dmd NPPES

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

KATYA ARCHAMBAULT DMD (NPI 1700350485) is an individual oral and maxillofacial radiology provider in La Jolla, California, licensed in California (DDS65278) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2018).

NPPES Registry Identity

NPI1700350485
Entity TypeIndividualFemale
Primary Taxonomy1223X0008X
Provider Legal NameKATYA ARCHAMBAULTCredential: DMD
Location Address9245 REGENTS RD UNIT M208La Jolla, CA 92037-9266
Mailing Address9245 Regents Rd Unit M208La Jolla, CA 92037-9266 · (310) 307-6623
Phone(310) 307-6623
Sole ProprietorNo
Medical School CMSUniv Of Calif, Los Angeles School Of DentistryGraduated 2018
Enumeration DateJanuary 16, 2019
✔ NPI 1700350485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License✔ Licensed in CA · DDS65278
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
9245 REGENTS RD UNIT M208, La Jolla, CA 92037
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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

Katya Archambault Dmd 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 ID6002241676
PECOS Enrollment IDI20200109001600
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services42 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
26 services25 patients
3d radiographic procedure 76376
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
22 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 Katya Archambault's NPI number?

The NPI number for Katya Archambault is 1700350485. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Where is Katya Archambault located?

Katya Archambault practices at 9245 Regents Rd Unit M208, La Jolla, CA 92037. The listed phone number is (310) 307-6623.

What is Katya Archambault's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Katya Archambault enrolled in Medicare?

Yes. Katya Archambault 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 Katya Archambault was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.