Organization Active NPI

I J Bayrakdarian DMD a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hanford, CA
National Provider Identifier
1093367054
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
I J BAYRAKDARIAN DMD A PROFESSIONAL CORPORATION
Practice address
1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone
(559) 222-2522
Fax
(559) 222-3022
NPI assigned
Jul 10, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
I. J. BAYRAKDARIAN DMD A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Angie Buruca
Title
Assistant Manager
Phone
(559) 222-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1479 W Lacey Blvd
Hanford, CA 93230-5906

Mailing address

1616 W Shaw Ave Ste A6
Fresno, CA 93711-3513
Phone (559) 222-2522

National Provider Directory

National Provider Directory
Tax ID family
I J Bayrakdarian DMD a Professional Corporation2 organizations share this tax ID, including this one
Part of
Ij Bayrakdarian DMD a Professional Corporation

Other organizations with this tax ID 1

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

Locations

1616 W Shaw Ave
Ste A6
Fresno, CA 93711
Phone (559) 222-2522

1476 W Lacey Blvd
Hanford, CA 93230

1479 W Lacey Blvd
Hanford, CA 93230
Phone (559) 583-4617

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1093367054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE A6",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-222-2522",
            "fax_number": "559-222-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-222-2522",
            "fax_number": "559-222-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I J BAYRAKDARIAN DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I. J. BAYRAKDARIAN DMD A PROFESSIONAL CORPORATION",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "BURUCA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "559-222-2522"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.