Individual provider Active NPI

Lusine Hunanyan, DMD

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1144708090
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102676 Issued in CA
Practice address
7541 Sepulveda Blvd
Van Nuys, CA 91405-1645
Phone
(818) 688-5000
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102676 CA Primary

Addresses

Primary practice location

7541 Sepulveda Blvd
Van Nuys, CA 91405-1645

Mailing address

950 N Louise St Apt 203
Glendale, CA 91207-2001
Phone (818) 636-8055

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

State licenses

LicenseStateTypeSpecialty
102676CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hunanyan Dental Corporation Current Accepting new patients
Care 4U Home Health Services, Inc. Current Accepting new patients
Evercare Home Health Services Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1144708090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N LOUISE ST APT 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072001",
            "telephone_number": "818-636-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051645",
            "telephone_number": "818-688-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNANYAN",
        "first_name": "LUSINE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.