Edith Gevorgian, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

37332 Issued in CA

Practice address

332 E Glenoaks Blvd
#100
Glendale, CA 91207

Phone

(818) 244-2181

Fax

(818) 244-2959

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063597417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E GLENOAKS BLVD",
            "address_2": "#100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91207",
            "telephone_number": "818-244-2181",
            "fax_number": "818-244-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E GLENOAKS BLVD",
            "address_2": "#100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91207",
            "telephone_number": "818-244-2181",
            "fax_number": "818-244-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVORGIAN",
        "first_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "37332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Gerigoryan
• Gerinet Physician Services, Inc.
• Adriana Apollonia Germain, LAC
• Helena Maria Gerundo, M.D.
• Michael F Getz, MD
• Gevorgyan Brothers Hospice, Inc.
• Alexander G. Gevorgyan, M.D.
• Diana Gevorgyan, NP
• Diana Gevorgyan, PHARMD
• Helen Gevorgyan

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.