Organization Active NPI

Scott R. Adishian, D.D.S., Inc.

  • Prosthodontics
  • Pasadena, CA
National Provider Identifier
1114018082
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
27944 Issued in CA
Legal business name
SCOTT R. ADISHIAN, D.D.S., INC.
Practice address
200 S Oak Knoll Ave
Suite 101
Pasadena, CA 91101-2912
Phone
(626) 796-3700
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Authorized official

Name
Dr. Scott R Adishian, DDS
Title
President
Phone
(626) 796-3700

Specialties & licenses 1

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

Addresses

Primary practice location

200 S Oak Knoll Ave
Suite 101
Pasadena, CA 91101-2912

Mailing address

200 S Oak Knoll Ave
Suite 101
Pasadena, CA 91101-2912
Phone (626) 796-3700

National Provider Directory

National Provider Directory

Locations

200 S Oak Knoll Ave
Ste 101
Pasadena, CA 91101
Phone (626) 796-3700

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1114018082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S OAK KNOLL AVE",
            "address_2": "SUITE 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": "200 S OAK KNOLL AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012912",
            "telephone_number": "626-796-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R. ADISHIAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-01-21",
        "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": "626-796-3700",
        "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 Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.