Active NPI
Haig Levon Gazarian, DMD, MA
- General Practice Dentistry
- Monrovia, CA
National Provider Identifier
1124556451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 101851
- Practice address
- 925 W Foothill Blvd Ste B
Monrovia, CA 91016-6603 - Phone
- (626) 873-1500
- NPI assigned
- May 31, 2017
- Last updated
- Jan 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 101851 | CA | Primary |
Addresses
Primary practice location
925 W Foothill Blvd Ste B
Monrovia, CA 91016-6603
Mailing address
306 E Sierra Madre Blvd
Sierra Madre, CA 91024-2640
Phone (626) 590-3511
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101851 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haig Gazarian Dental Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1124556451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 E SIERRA MADRE BLVD",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242640",
"telephone_number": "626-590-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 W FOOTHILL BLVD STE B",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910166603",
"telephone_number": "626-873-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZARIAN",
"first_name": "HAIG",
"middle_name": "LEVON",
"name_prefix": "Dr.",
"credential": "DMD, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-31",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "101851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.