Individual provider Active NPI

Janet Diana Kazanjian, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1225148349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19915 Issued in CA
Practice address
1635 Silver Lake Blvd
Dr Janet D Kazanjian
Los Angeles, CA 90026
Phone
(323) 665-1211
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19915 CA Primary

Addresses

Primary practice location

1635 Silver Lake Blvd
Dr Janet D Kazanjian
Los Angeles, CA 90026

Mailing address

1635 Silver Lake Blvd
Dr Janet D Kazanjian
Los Angeles, CA 90026
Phone (323) 665-1211

Other identifiers 1

IdentifierTypeStateIssuer
B1991501MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225148349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SILVER LAKE BLVD",
            "address_2": "DR JANET D KAZANJIAN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "323-665-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 SILVER LAKE BLVD",
            "address_2": "DR JANET D KAZANJIAN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "323-665-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANJIAN",
        "first_name": "JANET",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "19915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B1991501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.