Active NPI
Mouradian DMD & Kirikian DDS, a Professional Dental Corporation
- Dentist
- Los Angeles, CA
National Provider Identifier
1083338818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MOURADIAN DMD & KIRIKIAN DDS, A PROFESSIONAL DENTAL CORPORATION
- Practice address
- 4787 Santa Monica Blvd
Los Angeles, CA 90029-2631 - Phone
- (323) 807-2527
- NPI assigned
- Sep 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victoria Mouradian, DMD
- Title
- Owner/Dentist
- Phone
- (323) 807-2527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4787 Santa Monica Blvd
Los Angeles, CA 90029-2631
Mailing address
701 N Brand Blvd Ste 820
Glendale, CA 91203-1283
Phone (323) 807-2527
Other names 1
- Kids Dental Avenue, Dental Office of Drs. Mouradian & Kirikian
National Provider Directory
National Provider DirectoryLocations
701 N Brand Blvd
Ste 820
Glendale, CA 91203
4787 Santa Monica Blvd
Los Angeles, CA 90029
Phone (323) 669-1199
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Dentistry
- Granada Hills, CA
- NPI 1518899558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1083338818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N BRAND BLVD STE 820",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031283",
"telephone_number": "323-807-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4787 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292631",
"telephone_number": "323-807-2527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOURADIAN DMD & KIRIKIAN DDS, A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "MOURADIAN",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "323-807-2527",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids Dental Avenue, Dental Office of Drs. Mouradian & Kirikian",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.