Dmitriy Ivanov, DDS Dental Corp
Dmitriy Ivanov, DDS Dental Corp is a healthcare organization registered as Periodontics in El Segundo, CA, holding Type 2 (organization) NPI 1619850088 since 2025. The authorized official on file is Dmitriy Ivanov, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619850088 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dmitriy Ivanov, DDS Dental Corp |
| Practice address | 390 N PACIFIC COAST HWY STE 1070, El Segundo, CA, 90245 |
| Phone | 3107083938 |
| Enumeration date | 2025-07-31 |
| Last updated in NPPES | 2025-07-31 |
Authorized official
| Name | Dmitriy Ivanov |
|---|---|
| Title | Owner |
| Phone | 3109268985 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | — | — |
Copy-ready billing details
Provider: Dmitriy Ivanov, DDS Dental Corp NPI: 1619850088 Taxonomy: 1223P0300X (Periodontics) Address: 390 N PACIFIC COAST HWY STE 1070, El Segundo, CA, 90245
Verify this record
Cross-check NPI 1619850088 against the authoritative CMS record: view Dmitriy Ivanov, DDS Dental Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Dmitriy Ivanov, DDS Dental Corp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-31.