NPIMap

Organization Active NPI

B. Deirmenjian, DDS, Inc

Doing business as Smiles West

  • General Practice Dentistry
  • Montebello, CA
National Provider Identifier
1063998359
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40804 Issued in CA
Legal business name
B. DEIRMENJIAN, DDS, INC
Doing business as
Smiles West
Practice address
1451 N Montebello Blvd
Montebello, CA 90640-2584
Phone
(323) 724-9955
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Barouir Arshag Deirmenjian
Title
Owner/Ceo
Phone
(310) 497-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 40804 CA Primary

Addresses

Primary practice location

1451 N Montebello Blvd
Montebello, CA 90640-2584

Mailing address

12640 Hesperia Rd Ste a
Victorville, CA 92395-7753
Phone (760) 241-3336

Other names 1

  • Smiles West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
B Deirmenjian DDS Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

1451 N Montebello Blvd
Montebello, CA 90640
Phone (323) 724-9955

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1063998359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957753",
            "telephone_number": "760-241-3336",
            "fax_number": "760-241-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402584",
            "telephone_number": "323-724-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. DEIRMENJIAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "DEIRMENJIAN",
        "authorized_official_first_name": "BAROUIR",
        "authorized_official_middle_name": "ARSHAG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-497-2211"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiles West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.