Organization Active NPI

Yvette Gulesserian DDS Inc

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1134416217
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D46598 Issued in CA
Legal business name
YVETTE GULESSERIAN DDS INC
Practice address
1010 N Glendale Ave Ste 206
Glendale, CA 91206-2121
Phone
(818) 429-9157
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Mrs. Yvette M Gulesserian, DDS
Title
President
Phone
(818) 429-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D46598 CA Primary

Addresses

Primary practice location

1010 N Glendale Ave Ste 206
Glendale, CA 91206-2121

Mailing address

1010 N Glendale Ave Ste 206
Glendale, CA 91206-2121
Phone (818) 429-9157

Other names 1

  • dental office Former legal business name

National Provider Directory

National Provider Directory

Locations

1010 N Glendale Ave
Ste 206
Glendale, CA 91206
Phone (818) 239-3840

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1134416217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N GLENDALE AVE STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062121",
            "telephone_number": "818-429-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N GLENDALE AVE STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062121",
            "telephone_number": "818-429-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE GULESSERIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "GULESSERIAN",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-429-9157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D46598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental office",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.