DR. ELIAS DEMISSIE DDS
NPI 1962790592
Dentist in Los Angeles, CA

Active since July 18, 2011PECOS Enrolled
10300 COMPTON AVE, LOS ANGELES, CA 90002(323) 357-6600(323) 771-7722 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Elias Demissie Dds NPPES

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

DR. ELIAS DEMISSIE DDS (NPI 1962790592) is an individual dentist in Los Angeles, California, licensed in California (61816) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962790592
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ELIAS DEMISSIECredential: DDS
Location Address10300 COMPTON AVELos Angeles, CA 90002-3628
Mailing Address7027 Alvern St Apt 103Los Angeles, CA 90045-1970 · (424) 443-9598 · Fax (323) 771-7722
Fax(323) 771-7722
Sole ProprietorNo
Enumeration DateJuly 18, 2011
Last NPPES UpdateDecember 19, 2016
NPI 1962790592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 61816
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

10300 COMPTON AVE, Los Angeles, CA 90002

Accepted 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. Elias Demissie Dds 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 90002 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 19

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

Obstetrics & Gynecology
10300 COMPTON AVE
LOS ANGELES, CA 90002
Family Medicine
10300 COMPTON AVE
LOS ANGELES, CA 90002
Internal Medicine
10300 COMPTON AVE
LOS ANGELES, CA 90002
Internal Medicine
10300 COMPTON AVE
LOS ANGELES, CA 90002
Physician Assistant
10300 COMPTON AVE
LOS ANGELES, CA 90002
Internal Medicine
10300 COMPTON AVE
LOS ANGELES, CA 90002
Pediatrics
10300 COMPTON AVE
LOS ANGELES, CA 90002
Obstetrics & Gynecology
10300 COMPTON AVE
LOS ANGELES, CA 90002

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 Elias Demissie's NPI number?

The NPI number for Elias Demissie is 1962790592. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Elias Demissie located?

Elias Demissie practices at 10300 Compton Ave, Los Angeles, CA 90002. The listed phone number is (323) 357-6600.

What is Elias Demissie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Elias Demissie enrolled in Medicare?

Yes. Elias Demissie is registered in the Medicare PECOS enrollment system.

What insurance does Elias Demissie 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, Humana and Renaissance Dental list Elias Demissie 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 Elias Demissie was last updated on December 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.