Individual provider Active NPI

Gohar Hovsepyan, DDS

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1124033667
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49543 Issued in CA
Practice address
15333 Sherman Way
Suite M
Van Nuys, CA 91406-4206
Phone
(818) 909-0200
Fax
(818) 909-9386
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49543 CA Primary

Addresses

Primary practice location

15333 Sherman Way
Suite M
Van Nuys, CA 91406-4206

Mailing address

15333 Sherman Way
Suite M
Van Nuys, CA 91406-4206
Phone (818) 909-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49543CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gohar Hovsepyan D.D.S., Inc. General Practice CurrentSince Sep 15, 2024 Accepting new patients

Locations

15333 Sherman Way
Ste M
Van Nuys, CA 91406
Phone (818) 909-0200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1124033667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 SHERMAN WAY",
            "address_2": "SUITE M",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064206",
            "telephone_number": "818-909-0200",
            "fax_number": "818-909-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 SHERMAN WAY",
            "address_2": "SUITE M",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064206",
            "telephone_number": "818-909-0200",
            "fax_number": "818-909-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVSEPYAN",
        "first_name": "GOHAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.