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DR. EMILIIA MGDVELADZE DDS
NPI 1922705029
Dentist - General Practice in Los Angeles, CA

Active since February 09, 2023
1440 W MANCHESTER AVE, LOS ANGELES, CA 90047(323) 826-5542 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, May 6, 2023, Feb 9, 2023 (3 updates tracked since 2023).

About Dr. Emiliia Mgdveladze Dds NPPES

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

DR. EMILIIA MGDVELADZE DDS (NPI 1922705029) is an individual general practice provider in Los Angeles, California, licensed in California (108568) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1922705029
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EMILIIA MGDVELADZECredential: DDS
Location Address1440 W MANCHESTER AVELos Angeles, CA 90047-5422
Mailing Address5710 W 83rd StLos Angeles, CA 90045-4301 · (424) 216-0718
Phone(323) 826-5542
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1922705029 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 · 108568
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.
1440 W MANCHESTER AVE, Los Angeles, CA 90047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

B. DEIRMENJIAN, DDS, INC
Dentist (General Practice)
1440 W MANCHESTER AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 753-1141
COMMUNITY DENTAL SERVICES
Dentist
1440 W MANCHESTER AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 753-1141
DR. CHU ZHANG DDS
Dentist
1440 W MANCHESTER AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 753-1141
DR. CHARLES JOSEPH BANASKY DDS
Dentist
1440 W MANCHESTER AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 753-1141
DR. SAGHI SHAYAN RAZI DDS, MS
Dentist
1440 W MANCHESTER AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 753-1141

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 Emiliia Mgdveladze's NPI number?

The NPI number for Emiliia Mgdveladze is 1922705029. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Emiliia Mgdveladze located?

Emiliia Mgdveladze practices at 1440 W Manchester Ave, Los Angeles, CA 90047. The listed phone number is (323) 826-5542.

What is Emiliia Mgdveladze's specialty?

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

What insurance does Emiliia Mgdveladze accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Emiliia Mgdveladze 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 Emiliia Mgdveladze was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.