NPPES file of Aug 9, 2026

Carletta Annyse Demetree, DDS

Dentist · Venice, CA

Carletta Annyse Demetree, DDS is a dentist with a practice address in Venice, California, and NPI 1609527670, issued on Jan 12, 2022. Check the license (California 107002, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609527670
Name
Carletta Annyse Demetree
Credential
DDS
Primary taxonomy
Dentist 122300000X
License number
107002 CA
Self-reported in NPPES; status is on the state search
Practice location
323 Lincoln Blvd, Venice, CA 90291
Phone
(310) 392-4103
Enumerated
Jan 12, 2022
Record last updated
Jan 12, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 323 Lincoln Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Aliza Amsellem, DDSDentist1265360184
  2. Mario Antonioni, D.D.S.Student in an Organized Health Care Education/Training Program1255894762
  3. Olivia Berman, DMD, MSDentist1740962281
  4. Tanya KavoussiStudent in an Organized Health Care Education/Training Program1821625864
  5. Golara Khandan, DMDStudent in an Organized Health Care Education/Training Program1235827643
  6. Bernice KoEndodontics1417174467

Verify Carletta Annyse Demetree in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 107002
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $225.65

4 payments; by number, the most common kind was food and beverage; the largest payer was Ivoclar Vivadent, Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carletta Demetree$225.65
  2. Specialty average$540.36

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Carletta Annyse Demetree among 14,729 dentist records in California

Carletta Annyse Demetree, DDS is one of 14,729 dentist records with a practice address in California. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 86% of them.

  • NPI issued2022 · 86% of these records are older, 11% newer
  • In a Medicare fileYes · 56% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2022 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 dentist records list a practice address in Venice

They are 10 of the 626 NPPES records with a practice address in Venice, and 14,729 dentist records in California.

The 8 dentist records with the nearest ZIP codes

  1. Aliza Amsellem, DDSVenice, CA 902911265360184
  2. Olivia Berman, DMD, MSVenice, CA 902911740962281
  3. Dylan Booth, DDSVenice, CA 902911033629837
  4. Gloria Garcia-Gonzalez, DMDVenice, CA 902911942552385
  5. Noel Saucedo, D.D.S.Venice, CA 902911124175336
  6. Macario Soliman, DDSVenice, CA 902911629260450
  7. Marlene Talley, DDSVenice, CA 902911770806267
  8. Valerie Thai, DMDVenice, CA 902911811834526

Common questions

What is Carletta Annyse Demetree, DDS's NPI number?

Carletta Annyse Demetree, DDS's National Provider Identifier (NPI) is 1609527670, issued on Jan 12, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Carletta Annyse Demetree, DDS located?

The NPPES record lists a practice address at 323 Lincoln Blvd, Venice, CA, 90291. Phone: (310) 392-4103. Providers update this record themselves, so call before visiting.

How can I verify Carletta Annyse Demetree, DDS's license?

NPPES lists California license number 107002, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.