Active NPI
Vahe Ohanesian, DDS,MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Bernardino, CA
National Provider Identifier
1083191100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS100531
- Practice address
- 159 W Hospitality LN
San Bernardino, CA 92408-3348 - Phone
- (909) 558-4960
- NPI assigned
- Jul 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS100531 | CA | Primary |
Addresses
Primary practice location
159 W Hospitality LN
San Bernardino, CA 92408-3348
Mailing address
1049 E Huntington Dr Unit C
Monrovia, CA 91016-3782
Phone (818) 434-2986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS100531 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532131200000",
"number": "1083191100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 E HUNTINGTON DR UNIT C",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163782",
"telephone_number": "818-434-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W HOSPITALITY LN",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083348",
"telephone_number": "909-558-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHANESIAN",
"first_name": "VAHE",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-21",
"last_updated": "2018-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS100531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.