Krikor P. Ghazarian, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17656 Issued in OH

Practice address

130 S Market St
Wooster, OH 44691-4839

Phone

(330) 264-9678

NPI assigned

Aug 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ghazarian Dental Clinic

  • Dental Clinic/Center
  • Wooster, OH
  • NPI 1811043136
  NPD (past) Authorized official

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

{
    "created_epoch": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104828680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 STONESTHROW DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917442",
            "telephone_number": "330-264-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914839",
            "telephone_number": "330-264-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARIAN",
        "first_name": "KRIKOR",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560325",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Louise Gerber
• Tara R. Gerber, MSW, LSW
• James W Gesler, M.D.
• Anna Kathryn Gest, MS, RDN, LD
• Ghazarian Dental Clinic
• Teresa Ghazoul, M.D.
• Angela Marie Gianotto, LMT
• Jasmine Giauque
• Charles F Gibson, PHD
• Brooke Gifford, BSW, LSW

• General Practice Dentistry in Wooster, OH
• Providers in Wooster, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.