Vanik Krekorians, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

52074 Issued in CA

Practice address

6900 Foothill Blvd
Tujunga, CA 91042-2713

Phone

(818) 353-9595

Fax

(818) 353-0505

NPI assigned

Nov 30, 2006

Last updated

Nov 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vanik Krekorians DDS Inc

  • General Practice Dentistry
  • Tujunga, CA
  • NPI 1598032054
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322352000000",
    "number": "1124196217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 TUJUNGA CANYON PL",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422910",
            "telephone_number": "818-352-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FOOTHILL BLVD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422713",
            "telephone_number": "818-353-9595",
            "fax_number": "818-353-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREKORIANS",
        "first_name": "VANIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khachik Khachikyan
• Ninelia Khechoomian
• Hyung Jung Kim, L.AC
• Jane Kim
• KKK Health Care Inc
• Sergey Dmitriyevich Kustov, PHARMD
• Vasiliky Kyriakopoulos, LCSW
• L.a. Enhanced Care Management Inc.
• La Guardian Health Care Inc
• La Guardian Hospice Inc

• Dentist in Tujunga, CA
• Providers in Tujunga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.