Individual provider Active NPI

Nairi Haroian

  • Dentist
  • Granada Hills, CA
National Provider Identifier
1124302815
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60873 Issued in CA
Practice address
16856 Germain St
Granada Hills, CA 91344-6301
Phone
(818) 416-9055
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60873 CA Primary

Addresses

Primary practice location

16856 Germain St
Granada Hills, CA 91344-6301

Mailing address

16856 Germain St
Granada Hills, CA 91344-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813010586 CA Order and Referring Only - DentistPractitioner - Dentist 7911212378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60873CAMDDentist

Interoperability endpoints

  • Direct secure messaging: nharoian@cchc.trimed.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1124302815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16856 GERMAIN ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16856 GERMAIN ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446301",
            "telephone_number": "818-416-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROIAN",
        "first_name": "NAIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.