Organization Active NPI

Mouradian DMD & Kirikian DDS, a Professional Dental Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1083338818
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Sep 26, 2022

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.