Organization Active NPI

John G. Adomian, D.D.S., Inc.

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1013018787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44451 Issued in CA
Legal business name
JOHN G. ADOMIAN, D.D.S., INC.
Practice address
919 Montana Ave
Santa Monica, CA 90403-1504
Phone
(310) 458-1545
Fax
(310) 458-1546
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Garabed Adomian, D.D.S.NPI 1891038808
Title
President
Phone
(310) 458-1545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44451 CA Primary

Addresses

Primary practice location

919 Montana Ave
Santa Monica, CA 90403-1504

Mailing address

919 Montana Ave
Santa Monica, CA 90403-1504
Phone (310) 458-1545

National Provider Directory

National Provider Directory

Locations

919 Montana Ave
Santa Monica, CA 90403
Phone (310) 458-1545

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013018787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031504",
            "telephone_number": "310-458-1545",
            "fax_number": "310-458-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031504",
            "telephone_number": "310-458-1545",
            "fax_number": "310-458-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. ADOMIAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADOMIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GARABED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-458-1545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.