Jacklyn Martirosyan, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

380 Issued in CA

Practice address

3727 W. Magnolia Blvd.
#436
Burbank, CA 91505

Phone

(818) 429-9454

NPI assigned

Nov 8, 2011

Last updated

Nov 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Zhaklin Martirosyan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1063799823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W. MAGNOLIA BLVD.",
            "address_2": "#436",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-429-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W. MAGNOLIA BLVD.",
            "address_2": "#436",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-429-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIROSYAN",
        "first_name": "JACKLYN",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHAKLIN",
            "last_name": "MARTIROSYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Martinez
• Teresa Iliana Martinez
• Vikki Martinez
• Arthur Martirosian
• Hovik Martirossian, RDO
• Michael M Marvi, MD, MS
• Marvin I Porton O.D., Inc.
• Marvin S. Pachman, O.D. Inc.
• Marisela Mascorro
• Mackenzie Mase

• Dental Hygienist in Burbank, CA
• Providers in Burbank, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.