NPIMap

Organization Active NPI

V a Halajian Dental Corporation

  • Endodontics
  • Glendale, CA
National Provider Identifier
1104254374
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
56717 Issued in CA
Legal business name
V A HALAJIAN DENTAL CORPORATION
Practice address
230 N Maryland Ave
Suite 206
Glendale, CA 91206-4261
Phone
(818) 547-2804
Fax
(818) 502-1197
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Vic Halajian
Title
President
Phone
(818) 416-4776

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 56717 CA Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 58380 CA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 30624 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 55829 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 57793 CA

Addresses

Primary practice location

230 N Maryland Ave
Suite 206
Glendale, CA 91206-4261

Mailing address

230 N Maryland Ave
Suite 206
Glendale, CA 91206-4261
Phone (818) 547-2804

Other names 1

  • Dental Specialty Group of Glendale Doing business as

National Provider Directory

National Provider Directory

Locations

230 N Maryland Ave
Ste 206
Glendale, CA 91206
Phone (818) 547-2804

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1104254374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064261",
            "telephone_number": "818-547-2804",
            "fax_number": "818-502-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064261",
            "telephone_number": "818-547-2804",
            "fax_number": "818-502-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V A HALAJIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "HALAJIAN",
        "authorized_official_first_name": "VIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-416-4776",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "56717",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58380",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "30624",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55829",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty Group of Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.