NPIMap

Organization Active NPI

Dental Care Studios,Dental Office of Jacklyn Azarian DDS

  • Dentist
  • Glendale, CA
National Provider Identifier
1013181262
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50033 Issued in CA
Legal business name
DENTAL CARE STUDIOS,DENTAL OFFICE OF JACKLYN AZARIAN DDS
Practice address
1141 N Brand Blvd Ste 500
Glendale, CA 91202-3069
Phone
(818) 242-6310
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mrs. Jacklyn Azarian, DDSNPI 1942480603
Title
Owner
Phone
(818) 240-3700

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 50033 CA Primary

Addresses

Primary practice location

1141 N Brand Blvd Ste 500
Glendale, CA 91202-3069

Mailing address

1141 N Brand Blvd Ste 500
Glendale, CA 91202-3069
Phone (818) 242-6310

Other identifiers 1

IdentifierTypeStateIssuer
G89519-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

1141 N Brand Blvd
Ste 500
Glendale, CA 91202
Phone (818) 240-3700

Practitioners & affiliated clinicians

Practitioners 2

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1013181262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 500",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023069",
            "telephone_number": "818-242-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 500",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023069",
            "telephone_number": "818-242-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE STUDIOS,DENTAL OFFICE OF JACKLYN AZARIAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "AZARIAN",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-240-3700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G89519-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.