Organization Active NPI

Arkelakyan Gyokchyan & Khachatryan Dental Inc

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1205653417
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARKELAKYAN GYOKCHYAN & KHACHATRYAN DENTAL INC
Practice address
9275 Base Line Rd
Rancho Cucamonga, CA 91730-1203
Phone
(909) 490-5576
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Karen Kevin Khachatryan, DDSNPI 1033782180
Title
Secretary
Phone
(818) 601-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9275 Base Line Rd
Rancho Cucamonga, CA 91730-1203

Mailing address

11628 Amestoy Ave
Granada Hills, CA 91344-2526
Phone (818) 601-8550

Other practice location 1

1230 E Arrow Hwy
Upland, CA 91786-4910
Phone (909) 345-6117

National Provider Directory

National Provider Directory

Locations

9275 Base Line Rd
Rancho Cucamonga, CA 91730
Phone (909) 490-5576

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1205653417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 AMESTOY AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442526",
            "telephone_number": "818-601-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 BASE LINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301203",
            "telephone_number": "909-490-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864910",
            "country_code": "US",
            "telephone_number": "909-345-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKELAKYAN GYOKCHYAN & KHACHATRYAN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-601-8550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.