NPIMap

Organization Active NPI

Gallatin Dental Group

  • Dentist
  • Downey, CA
National Provider Identifier
1093861882
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41887 Issued in CA
Legal business name
GALLATIN DENTAL GROUP
Practice address
10805 Paramount Blvd
Suite B
Downey, CA 90241
Phone
(562) 869-1686
Fax
(562) 861-1672
NPI assigned
Jan 26, 2007
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Steve Arthur Aivazian, DMDNPI 1902952633
Title
Secretary
Phone
(562) 869-1686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41887 CA Primary
Dentist 122300000X 47500 CA
Pediatric Dentistry 1223P0221X 42015 CA

Addresses

Primary practice location

10805 Paramount Blvd
Suite B
Downey, CA 90241

Mailing address

10805 Paramount Blvd
Suite B
Downey, CA 90241
Phone (562) 869-1686

National Provider Directory

National Provider Directory
Tax ID family
Bekeredjian and Aivazian Dental Corp a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1093861882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 PARAMOUNT BLVD",
            "address_2": "SUITE B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-869-1686",
            "fax_number": "562-861-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 PARAMOUNT BLVD",
            "address_2": "SUITE B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-869-1686",
            "fax_number": "562-861-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "AIVAZIAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "562-869-1686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41887",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47500",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.