Martin H Mardirosian, D.D.S, M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61160 Issued in CA

Practice address

20047 Chapter Dr
Woodland Hills, CA 91364-5669

Phone

(818) 396-6278

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 3, 2024 through Jul 3, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Trent Westernoff DMD MD Inc & Martin Mardirosian DDS MD Apc General PA

  dba Oral Surgery Partners

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1376205047
  NPD Authorized official
• Westernoff DMD MD & Mardirosian DDS MD GP-W

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1710556550
  NPD (past) Authorized official

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1043566284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20047 CHAPTER DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645669",
            "telephone_number": "818-396-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20047 CHAPTER DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645669",
            "telephone_number": "818-396-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIROSIAN",
        "first_name": "MARTIN",
        "middle_name": "H",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernardo Ariston Marcos, M.D.
• Laina Beth Melago Marcus, M.A.
• Robert Jerome Marcus, PH.D., R.PH.
• Heidi Marcz, PSS
• Maral Melissa Mardiros, M.D.
• Briana Marie Marestein
• Hamasik Tom Margaryan, PMHNP
• John Patrick Margolis
• Maria Delia Leviste M D Inc
• Maria Fain-Karpus, M.D., a Medical Corp. (Caring Hands Pediatrics)

• General Practice Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, 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 Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.