NPIMap

Organization Active NPI

Varand Kerikorian, DDS a Professional Dental Corp

Doing business as Green California Dental Group

  • Dentist
  • Burbank, CA
National Provider Identifier
1073825956
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57533 Issued in CA
Legal business name
VARAND KERIKORIAN, DDS A PROFESSIONAL DENTAL CORP
Doing business as
Green California Dental Group
Practice address
1822 W Burbank Blvd
Burbank, CA 91506-1348
Phone
(818) 238-9700
Fax
(818) 238-9124
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Varand Kerikorian, D.D.SNPI 1952559775
Title
Ceo
Phone
(818) 636-6923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57533 CA Primary

Addresses

Primary practice location

1822 W Burbank Blvd
Burbank, CA 91506-1348

Mailing address

1822 W Burbank Blvd
Burbank, CA 91506-1348
Phone (818) 238-9700

Other names 1

  • Green California Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Varand Kerikorian DDS a Professional Dental Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1822 W Burbank Blvd
Burbank, CA 91506
Phone (818) 238-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1073825956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061348",
            "telephone_number": "818-238-9700",
            "fax_number": "818-238-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061348",
            "telephone_number": "818-238-9700",
            "fax_number": "818-238-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARAND KERIKORIAN, DDS A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "KERIKORIAN",
        "authorized_official_first_name": "VARAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-636-6923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green California Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.