Andonian Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDONIAN DENTAL CORP

Practice address

18430 Brookhurst St Ste 104
Fountain Valley, CA 92708-6726

Phone

(714) 963-3005

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Christopher William Andonian, DDSNPI 1558515288

Title

President

Phone

(614) 256-6636

Specialties & licenses 3

Addresses

Other names 1

• Fountain Valley Smiles Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher William Andonian, D.D.S.

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1558515288
  NPD Authorized official
• Paul D Jaruszewski, D.D.S.

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1356477277
  NPD (past)

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1003641978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17312 DREY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475616",
            "telephone_number": "614-256-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 104",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-963-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDONIAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ANDONIAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-256-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Valley Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas J Anderson, MD
• Matthew Anderson
• Melanie Glenn Anderson, PA-C
• Peter G Anderson, MD
• Tyler Anderson
• Fidel Andrade, PA
• Andreea Moisiuc DDS Inc.
• Andrew a Ceavatta MD Inc
• Andromeda Escape
• Andy Le MD Inc

• General Practice Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.