Organization Active NPI

Marianna Ghularyan D.D.S. Inc

  • Dentist
  • Burbank, CA
National Provider Identifier
1114478203
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61407 Issued in CA
Legal business name
MARIANNA GHULARYAN D.D.S. INC
Practice address
1400 N. Edison Blvd.
Burbank, CA 91505
Phone
(818) 233-8787
Fax
(844) 330-0621
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mrs. Marianna Ghularyan, D.D.S
Title
Dentist
Phone
(818) 536-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61407 CA Primary

Addresses

Primary practice location

1400 N. Edison Blvd.
Burbank, CA 91505

Mailing address

1400 N. Edison Blvd.
Burbank, CA 91505
Phone (818) 233-8787

Other names 1

  • Burbank Valley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1400 N Edison Blvd
Burbank, CA 91505
Phone (818) 203-5941

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1114478203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N. EDISON BLVD.",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-233-8787",
            "fax_number": "844-330-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N. EDISON BLVD.",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-233-8787",
            "fax_number": "844-330-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA GHULARYAN D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "GHULARYAN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-536-8855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burbank Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.