Andre Eliasian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62927 Issued in CA

Practice address

1249 W Glenoaks Blvd
Glendale, CA 91201-2238

Phone

(818) 649-1772

Fax

(818) 649-1774

NPI assigned

Sep 4, 2013

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andre Eliasian DDS Inc

  • General Practice Dentistry
  • Granada Hills, CA
  • NPI 1356196455
  NPD Authorized official
• Andre Eliasian Dental Corporation

  • Dentist
  • Glendale, CA
  • NPI 1508281387
  NPD (past) Authorized official

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1023443454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012238",
            "telephone_number": "818-649-1772",
            "fax_number": "818-649-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012238",
            "telephone_number": "818-649-1772",
            "fax_number": "818-649-1774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 Chatsworth St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445611",
            "country_code": "US",
            "telephone_number": "818-391-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIASIAN",
        "first_name": "ANDRE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62927",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Care Clinic
• Elevate Health Group a Medical Corporation
• Elevate Hospitalist Group Inc
• Eli E. Hendel, MD., a Corporation
• Elia Cares LLC
• Lilit Eliasyan, FNP
• Moris Elie, DC
• Teresa Eligio, RN, MSN, FNP
• Chrestin Elisha, DPM
• Elite Benefits Home Health, Inc.

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

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