Individual provider Active NPI

Aharon Hayrapetyan, DDS

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1205566080
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107508 Issued in CA
Practice address
1100 E Broadway Ste 302
Glendale, CA 91205-1384
Phone
(818) 745-2002
NPI assigned
Jun 14, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107508 CA
General Practice Dentistry 1223G0001X 107508 CA Primary

Addresses

Primary practice location

1100 E Broadway Ste 302
Glendale, CA 91205-1384

Mailing address

1100 E Broadway Ste 302
Glendale, CA 91205-1384
Phone (818) 745-2002

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
107508CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aharon Hayrapetyan DDS Inc Current Accepting new patients

Locations

1100 E Broadway
Ste 302
Glendale, CA 91205
Phone (818) 429-3171

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1205566080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051384",
            "telephone_number": "818-745-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051384",
            "telephone_number": "818-745-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYRAPETYAN",
        "first_name": "AHARON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 25, 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.