Organization Active NPI

Hovsep Nargizyan, DDS, Inc.

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1164572053
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51112 Issued in CA
Legal business name
HOVSEP NARGIZYAN, DDS, INC.
Practice address
1655 N Mount Vernon Ave
Unit B
San Bernardino, CA 92411-1427
Phone
(909) 885-8707
Fax
(909) 885-9447
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Hovsep Nargizyan, DDS
Title
Owner
Phone
(909) 885-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 51112 CA Primary

Addresses

Primary practice location

1655 N Mount Vernon Ave
Unit B
San Bernardino, CA 92411-1427

Mailing address

1655 N Mount Vernon Ave
Unit B
San Bernardino, CA 92411-1427
Phone (909) 885-8707

Other identifiers 2

IdentifierTypeStateIssuer
161-9568OtherCAUNITED CONCORDIA
G94087-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

1655 N Mount Vernon Ave
Ste B
San Bernardino, CA 92411
Phone (909) 885-8707

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1164572053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N MOUNT VERNON AVE",
            "address_2": "UNIT B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111427",
            "telephone_number": "909-885-8707",
            "fax_number": "909-885-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N MOUNT VERNON AVE",
            "address_2": "UNIT B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111427",
            "telephone_number": "909-885-8707",
            "fax_number": "909-885-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOVSEP NARGIZYAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "NARGIZYAN",
        "authorized_official_first_name": "HOVSEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-885-8707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "161-9568",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G94087-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.