Adishian Dental Corporation

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

Last updated

May 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott R Adishian, DDSNPI 1568553444

Title

President

Phone

(760) 341-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Scott Reynold Adishian, D.D.S.

  • Prosthodontics
  • Pasadena, CA
  • NPI 1568553444
  Authorized official Same address or phone

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

{
    "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": []
}

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• Prosthodontics in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Prosthodontics in California

• 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.