Individual provider Active NPI

Arby Ananian, D.D.S

  • Dentist
  • Burbank, CA
National Provider Identifier
1003055377
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54233 Issued in CA
Practice address
847 N Hollywood Way
Suite 102
Burbank, CA 91505-2843
Phone
(818) 248-1694
NPI assigned
Feb 11, 2009
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54233 CA Primary

Addresses

Primary practice location

847 N Hollywood Way
Suite 102
Burbank, CA 91505-2843

Mailing address

847 N Hollywood Way
Suite 102
Burbank, CA 91505-2843
Phone (818) 841-5776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000578 CA Order and Referring Only - DentistPractitioner - Dentist 5890086854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1003055377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 N HOLLYWOOD WAY",
            "address_2": "SUITE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052843",
            "telephone_number": "818-841-5776",
            "fax_number": "818-841-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 N HOLLYWOOD WAY",
            "address_2": "SUITE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052843",
            "telephone_number": "818-248-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANIAN",
        "first_name": "ARBY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.