Active NPI
Bayrakdarian Orthodontics LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clovis, CA
National Provider Identifier
1063669356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 50037
- Legal business name
- BAYRAKDARIAN ORTHODONTICS LLC
- Practice address
- 451 Clovis Ave
Suite 105
Clovis, CA 93612-1194 - Phone
- (559) 298-4322
- NPI assigned
- Aug 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ishkhan Bayrakdarian
- Title
- Sole MBR
- Phone
- (818) 522-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 50037 | CA | Primary |
Addresses
Primary practice location
451 Clovis Ave
Suite 105
Clovis, CA 93612-1194
Mailing address
451 Clovis Ave
Suite 105
Clovis, CA 93612-1194
Phone (559) 298-4322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1063669356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 CLOVIS AVE",
"address_2": "SUITE 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121194",
"telephone_number": "559-298-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CLOVIS AVE",
"address_2": "SUITE 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121194",
"telephone_number": "559-298-4322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYRAKDARIAN ORTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "BAYRAKDARIAN",
"authorized_official_first_name": "ISHKHAN",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "818-522-2121"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "50037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
- Tasha Sharie Batesole, RN
- Karl Baune
- Roberta Anne Bavin, CPNP
- Bayrakdarian Clovis I, D.M.D., Inc., a Professional Dental Corporation
- Bayrakdarian Clovis II, D.M.D., Inc., a California Professional Dental
- Deniz Baysal, MD, FRCP
- Baz Allergy, Asthma & Sinus Center
- Baz Allergy, Asthma & Sinus Center
- Baz Allergy, Asthma & Sinus Center, Inc.
- Baz Allergy, Asthma & Sinus Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.