ADRIANA MARIA JOSE RUIZ CENTURION DDS
NPI 1851167050
Dentist - General Practice in Los Angeles, CA

Q: What is Adriana Ruiz Centurion's NPI number?

The NPI number for Adriana Ruiz Centurion is 1851167050. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Q: What is Adriana Ruiz Centurion's specialty?

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

Active since November 29, 2023PECOS Enrolled

714 TIVERTON AVE, LOS ANGELES, CA 90095(310) 206-3904 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Adriana Maria Jose Ruiz Centurion Dds NPPES

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

ADRIANA MARIA JOSE RUIZ CENTURION DDS (NPI 1851167050) is an individual general practice provider in Los Angeles, California, licensed in Illinois (019.034043) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2024).

NPPES Registry Identity

NPI1851167050

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameADRIANA MARIA JOSE RUIZ CENTURIONCredential: DDS

Location Address714 TIVERTON AVELos Angeles, CA 90095-8361

Mailing Address714 Tiverton AveLos Angeles, CA 90095-8361 · (310) 206-3904

Phone(310) 206-3904

Sole ProprietorNo

Medical School CMSUniv Of Calif, Los Angeles School Of DentistryGraduated 2024

Enumeration DateNovember 29, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1851167050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.034043

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.

714 TIVERTON AVE, Los Angeles, CA 90095

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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 (PECOS)

Adriana Maria Jose Ruiz Centurion Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466945431

PECOS Enrollment IDI20251208001519

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 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.

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.

PEGA MOGHADAM HAJIAN

Dentist