DR. DMITRIY IVANOV DDS
NPI 1891142055
Dentist - Periodontics in Los Angeles, CA

Q: What is Dmitriy Ivanov's NPI number?

The NPI number for Dmitriy Ivanov is 1891142055. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Dmitriy Ivanov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Dmitriy Ivanov was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 18, 2016

3140 SAWTELLE BLVD APT 305, LOS ANGELES, CA 90066(310) 926-8985 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dmitriy Ivanov Dds NPPES

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

DR. DMITRIY IVANOV DDS (NPI 1891142055) is an individual periodontics provider in Los Angeles, California, licensed in California (64494) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1891142055

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. DMITRIY IVANOVCredential: DDS

Location Address3140 SAWTELLE BLVD APT 305Los Angeles, CA 90066-1468

Mailing Address2406 Mathews Ave Unit ARedondo Beach, CA 90278-5503 · (310) 926-8985

Phone(310) 926-8985

Sole ProprietorYes

Enumeration DateMay 18, 2016

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1891142055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 64494

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 64494 (CA)

3140 SAWTELLE BLVD APT 305, Los Angeles, CA 90066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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 Dmitriy Ivanov's NPI number?

The NPI number for Dmitriy Ivanov is 1891142055. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Dmitriy Ivanov located?

Dmitriy Ivanov practices at 3140 Sawtelle Blvd Apt 305, Los Angeles, CA 90066. The listed phone number is (310) 926-8985.

What is Dmitriy Ivanov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Dmitriy Ivanov accept?

Health plans from Humana list Dmitriy Ivanov 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 Dmitriy Ivanov was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.