Organization Active NPI

Raffi Margossian, D.D.S., M.S.D., Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Burbank, CA
National Provider Identifier
1124184098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
36718 Issued in CA
Legal business name
RAFFI MARGOSSIAN, D.D.S., M.S.D., INC.
Practice address
2701 W Alameda Ave Ste 308
Burbank, CA 91505-4408
Phone
(818) 842-7999
Fax
(818) 842-7111
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raffi Margossian, D.D.S., M.S.D.
Title
Owner
Phone
(818) 842-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 36718 CA Primary

Addresses

Primary practice location

2701 W Alameda Ave Ste 308
Burbank, CA 91505-4408

Mailing address

2701 W Alameda Ave Ste 308
Burbank, CA 91505-4408
Phone (818) 842-7999

National Provider Directory

National Provider Directory

Locations

2701 W Alameda Ave
Ste 308
Burbank, CA 91505
Phone (818) 842-7999

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124184098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 308",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054408",
            "telephone_number": "818-842-7999",
            "fax_number": "818-842-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 308",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054408",
            "telephone_number": "818-842-7999",
            "fax_number": "818-842-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI MARGOSSIAN, D.D.S., M.S.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARGOSSIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-842-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "36718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.