Krikor Kevork Gazarian, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10320 Issued in OR

Practice address

1880 Lancaster Dr NE Ste 121
Salem, OR 97305-1069

Phone

(971) 600-3498

NPI assigned

Jul 27, 2015

Sex

Male

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 OR

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arrow Dental LLC

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1255718086
  NPD (past)
• Arrow Dental LLC

  • General Practice Dentistry
  • Salem, OR
  • NPI 1346678877
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1083099451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 121",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051069",
            "telephone_number": "971-600-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 121",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051069",
            "telephone_number": "971-600-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZARIAN",
        "first_name": "KRIKOR",
        "middle_name": "KEVORK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Gasser, DC
• Tyler Scott Gates
• Justin T Gathercoal, D.O.
• Theresa Diane Gatti, PHARMD, RPH
• Martin James Gay, MS, LPC, NCC
• Sarah Ann Geark, RDH
• Geary J Michels, D.C., P.C
• Melat Gebremeskel, PA-C
• Kimberly Adell Geck, LMT
• Robin Grace Geck, QMHA

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.