Galstyan Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GALSTYAN DENTAL CORPORATION

Practice address

100 E Main St Ste 130
Alhambra, CA 91801-3580

Phone

(626) 586-3251

Fax

(626) 709-3074

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Martin A Galstyan, DDS

Title

Owner

Phone

(626) 586-3251

Specialties & licenses 1

Addresses

Other names 1

• Alhambra Modern Dentistry Dental Group Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaythi Nyein

  • Dentist
  • Alhambra, CA
  • NPI 1447140868
  NPD
• Harrison Detroy, DDS

  • General Practice Dentistry
  • Alhambra, CA
  • NPI 1669392486
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1174305791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST STE 130",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013580",
            "telephone_number": "626-586-3251",
            "fax_number": "626-709-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALSTYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-586-3251",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alhambra Modern Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Fung
• Peter K Fung, MD
• Yechezkel Gabaie, PHARMD
• Qais Waddah Ahmad Gabi
• Michael Gallegos
• Anna Galstyan
• Yaritxa Gamboa
• Jason Yang Gao
• Shimeng Gao
• Xin Gao

• Dentist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.