Individual provider Active NPI

Aleksandr G Dadashyan

  • General Practice Dentistry
  • Burbank, CA
National Provider Identifier
1205129335
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60390 Issued in CA
Practice address
2800 W Magnolia Blvd
Burbank, CA 91505-3036
Phone
(832) 774-5986
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0026508 TX
General Practice Dentistry 1223G0001X 60390 CA Primary

Addresses

Primary practice location

2800 W Magnolia Blvd
Burbank, CA 91505-3036

Mailing address

4550 Coldwater Canyon Ave Unit 302
Studio City, CA 91604-1042
Phone (832) 774-5986

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
60390CAMDGeneral Practice Dentistry
0026508TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandr Dadashyan DDS Inc General Practice Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1205129335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 COLDWATER CANYON AVE UNIT 302",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041042",
            "telephone_number": "832-774-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053036",
            "telephone_number": "832-774-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADASHYAN",
        "first_name": "ALEKSANDR",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0026508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; 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.