Individual provider Active NPI

Chris Khatchaturian

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1063541985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48480 Issued in CA
Practice address
2508 E Palmdale Blvd
Palmdale, CA 93550-4914
Phone
(661) 947-9990
Fax
(661) 947-2452
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48480 CA Primary

Addresses

Primary practice location

2508 E Palmdale Blvd
Palmdale, CA 93550-4914

Mailing address

2508 E Palmdale Blvd
Palmdale, CA 93550-4914
Phone (661) 947-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Khatchaturian DDS Inc. Current Accepting new patients
Zargarian and Khatchaturian Dental Corp. General Practice CurrentSince May 25, 2013 Accepting new patients
Smile Orthodontics PastSince May 25, 2013 Accepting new patients
Sanderson and Zargarian Dental Corp. General Practice PastSince Jul 3, 2022 Accepting new patients
Albert Zargarian DMD,Inc General Practice Past Accepting new patients

Locations

2508 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 947-9990

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063541985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504914",
            "telephone_number": "661-947-9990",
            "fax_number": "661-947-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504914",
            "telephone_number": "661-947-9990",
            "fax_number": "661-947-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATCHATURIAN",
        "first_name": "CHRIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.