Organization Active NPI

Hovsep Nargizyan Professional Dental Corp

  • General Practice Dentistry
  • Valley Village, CA
National Provider Identifier
1104269976
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51112 Issued in CA
Legal business name
HOVSEP NARGIZYAN PROFESSIONAL DENTAL CORP
Practice address
5216 Laurel Canyon Blvd
Valley Village, CA 91607-2710
Phone
(818) 786-8494
Fax
(818) 786-8492
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Hovsep Nargizyan, DDS
Title
Owner
Phone
(818) 786-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 51112 CA Primary

Addresses

Primary practice location

5216 Laurel Canyon Blvd
Valley Village, CA 91607-2710

Mailing address

5216 Laurel Canyon Blvd
Valley Village, CA 91607-2710
Phone (818) 786-8494

National Provider Directory

National Provider Directory

Locations

5216 Laurel Canyon Blvd
Valley Village, CA 91607
Phone (818) 769-1347

13521 Sherman Way
Ste H
Van Nuys, CA 91405
Phone (818) 786-8494

Practitioners & affiliated clinicians

Practitioners 1

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": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1104269976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 LAUREL CANYON BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072710",
            "telephone_number": "818-786-8494",
            "fax_number": "818-786-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 LAUREL CANYON BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072710",
            "telephone_number": "818-786-8494",
            "fax_number": "818-786-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOVSEP NARGIZYAN PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "NARGIZYAN",
        "authorized_official_first_name": "HOVSEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-786-8494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.