NPIMap

Organization Active NPI

Deirmenjian Dental Group Inc

Doing business as Desert Dental Group

  • Dentist
  • Hesperia, CA
National Provider Identifier
1093228454
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEIRMENJIAN DENTAL GROUP INC
Doing business as
Desert Dental Group
Practice address
15209 Bear Valley Rd Ste B
Hesperia, CA 92345-1610
Phone
(760) 241-3336
NPI assigned
Nov 8, 2017
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Barouir Deirmenjian, DDS
Title
Owner / Provider
Phone
(760) 241-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

15209 Bear Valley Rd Ste B
Hesperia, CA 92345-1610

Mailing address

15209 Bear Valley Rd Ste B
Hesperia, CA 92345-1610
Phone (760) 241-3336

Other names 1

  • Desert Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deirmenjian Dental Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1093228454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 BEAR VALLEY RD STE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451610",
            "telephone_number": "760-241-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 BEAR VALLEY RD STE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451610",
            "telephone_number": "760-241-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRMENJIAN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "DEIRMENJIAN",
        "authorized_official_first_name": "BAROUIR",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "760-241-3336",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.