Organization Active NPI

Adishian Dental Corporation

  • Prosthodontics
  • Palm Desert, CA
National Provider Identifier
1104198324
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
27944 Issued in CA
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 Directory

Locations

72405 Parkview Dr
Ste B
Palm Desert, CA 92260
Phone (760) 341-9400

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 27944 CA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.