Active NPI
Adishian Dental Corporation
- Prosthodontics
- Palm Desert, CA
National Provider Identifier
1104198324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 27944
- Legal business name
- ADISHIAN DENTAL CORPORATION
- Practice address
- 72405 Parkview Dr
Ste. B
Palm Desert, CA 92260-2716 - Phone
- (760) 341-9400
- NPI assigned
- Feb 3, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Scott R Adishian, DDS
- Title
- President
- Phone
- (760) 341-9400
National Provider Directory
National Provider DirectoryLocations
72405 Parkview Dr
Ste B
Palm Desert, CA 92260
Phone (760) 341-9400
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 27944 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
72405 Parkview Dr
Ste. B
Palm Desert, CA 92260-2716
Mailing address
200 S Oak Knoll Ave
Ste. 101
Pasadena, CA 91101-2912
Phone (626) 796-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2012.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1104198324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S OAK KNOLL AVE",
"address_2": "STE. 101",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012912",
"telephone_number": "626-796-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72405 PARKVIEW DR",
"address_2": "STE. B",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602716",
"telephone_number": "760-341-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADISHIAN DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "ADISHIAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-341-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "27944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.