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

DR. EDMOND AHDOOT D.D.S.
NPI 1770856528
Dentist - General Practice in Santa Monica, CA

Active since February 09, 2012PECOS Enrolled
1260 15TH ST, SUITE 805, SANTA MONICA, CA 90404(310) 393-1785 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edmond Ahdoot D.d.s. NPPES

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

DR. EDMOND AHDOOT D.D.S. (NPI 1770856528) is an individual general practice provider in Santa Monica, California, licensed in California (61163) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770856528
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDMOND AHDOOTCredential: D.D.S.
Location Address1260 15TH ST, SUITE 805Santa Monica, CA 90404-1135
Mailing Address1051 Van Buren AveVenice, CA 90291-5026 · (240) 476-9458
Phone(310) 393-1785
Sole ProprietorYes
Enumeration DateFebruary 9, 2012
✔ NPI 1770856528 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 · 61163
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.
1260 15TH ST, Santa Monica, CA 90404
Open in Google Maps ↗

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. Edmond Ahdoot D.d.s. 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 90404 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.

DAVID KOSHKI DDS
Dentist (General Practice)
1260 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 395-1261
SANTA MONICA BAY AREA PHYSICIANS
Internal Medicine
1260 15TH ST, 1501
SANTA MONICA, CA 90404
Los Angeles County (310) 656-1700
RONALD W STRAHAN MD
Specialist
1260 15TH ST, SUITE 600
SANTA MONICA, CA 90404
Los Angeles County (310) 394-0500
COSMETIC SURGERY CENTER OF SANTA MONICA A MEDICAL CORP
Clinic/Center (Ambulatory Surgical)
1260 15TH ST, SUITE 1401
SANTA MONICA, CA 90404
Los Angeles County (310) 434-2495
SANTA MONICA PODIATRY GROUP, INC.
Podiatrist (Primary Podiatric Medicine)
1260 15TH ST, SUITE 1014
SANTA MONICA, CA 90404
Los Angeles County (310) 451-1618
MVP COMPOUNDS INC
Pharmacy (Community/Retail Pharmacy)
1260 15TH ST, STE 100
SANTA MONICA, CA 90404
Los Angeles County (310) 393-6767
MANOOCHEHR YASHARI, M.D.
Obstetrics & Gynecology
1260 15TH ST, SUITE 616
SANTA MONICA, CA 90404
Los Angeles County (310) 393-4655
ALEX JOHN-YOUNG HU
Family Medicine
1260 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-6000

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 Edmond Ahdoot's NPI number?

The NPI number for Edmond Ahdoot is 1770856528. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Edmond Ahdoot located?

Edmond Ahdoot practices at 1260 15th St Suite 805, Santa Monica, CA 90404. The listed phone number is (310) 393-1785.

What is Edmond Ahdoot's specialty?

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

Is Edmond Ahdoot enrolled in Medicare?

Yes. Edmond Ahdoot is registered in the Medicare PECOS enrollment system.

What insurance does Edmond Ahdoot 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, Florida Combined Life and Humana and 2 other insurers list Edmond Ahdoot 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 Edmond Ahdoot was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.