Doctor profile · Federal record
Dr. Dmitriy Ivanov, DDS
Periodontist · Dentist · Los Angeles, CA
- NPI 1891142055
- 10 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3140 Sawtelle Blvd Apt 305
Los Angeles, CA 900661468
(310) 926-8985 - Mailing address
-
2406 Mathews Ave Unit A
Redondo Beach, CA 902785503
Credentials & registration
- NPI registered
- May 2016 — 10 yrs on file
- Profile last updated
- July 30, 2025
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- California #64494
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891142055. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,142
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $1,000.00 | |
| Straumann USA LLC | 1 | $75.00 | |
| Dentsply Sirona INC | 2 | $51.35 | |
| Benco Dental Supply Co. | 1 | $15.60 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
166
Patients
134
Total drug cost
$755
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 85 | 65 | $417 |
| Ibuprofen | Generic | 69 | 57 | $306 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 12 | 12 | $32 |
Frequently asked questions
What is Dr. Dmitriy Ivanov's medical specialty?
Dr. Dmitriy Ivanov practices Periodontist in Los Angeles, CA.
Where does Dr. Dmitriy Ivanov practice?
Dr. Dmitriy Ivanov practices at 3140 Sawtelle Blvd Apt 305, Los Angeles, CA 900661468. Office phone: 3109268985.
What is Dr. Dmitriy Ivanov's NPI?
Dr. Dmitriy Ivanov's National Provider Identifier (NPI) is 1891142055, issued by NPPES.