Organization Active NPI

Ok Dental Partnership Dba Southwest Dental

  • Dental Clinic/Center
  • Cathedral City, CA
National Provider Identifier
1225364193
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OK DENTAL PARTNERSHIP DBA SOUTHWEST DENTAL
Practice address
68820 Ramon Rd
Cathedral City, CA 92234-3337
Phone
(760) 770-0236
Fax
(760) 770-9758
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Dr. Grisha R Ovanesian, D.D.S.NPI 1942536149
Title
Partner
Phone
(760) 770-0236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

68820 Ramon Rd
Cathedral City, CA 92234-3337

Mailing address

68820 Ramon Rd
Cathedral City, CA 92234-3337
Phone (760) 770-0236

National Provider Directory

National Provider Directory

Locations

68820 Ramon Rd
Cathedral City, CA 92234
Phone (760) 770-0236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1225364193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68820 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343337",
            "telephone_number": "760-770-0236",
            "fax_number": "760-770-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68820 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343337",
            "telephone_number": "760-770-0236",
            "fax_number": "760-770-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK DENTAL PARTNERSHIP DBA SOUTHWEST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "OVANESIAN",
        "authorized_official_first_name": "GRISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-770-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.