NPIMap

Organization Active NPI

Andre Marderosian DMD Inc

  • Dental Clinic/Center
  • Glendale, CA
National Provider Identifier
1225927247
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANDRE MARDEROSIAN DMD INC
Practice address
1134 N Brand Blvd
Glendale, CA 91202-2504
Phone
(818) 246-2253
NPI assigned
Jul 2, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Andre Marderosian DMD, DMD
Title
Practice Owner
Phone
(818) 239-2217

Specialties & licenses 1

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

Addresses

Primary practice location

1134 N Brand Blvd
Glendale, CA 91202-2504

Mailing address

1134 N Brand Blvd
Glendale, CA 91202-2504
Phone (818) 246-2253

Other names 1

  • Brand Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1134 N Brand Blvd
Glendale, CA 91202
Phone (818) 246-2253

Practitioners & affiliated clinicians

Practitioners 6

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": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1225927247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022504",
            "telephone_number": "818-246-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022504",
            "telephone_number": "818-246-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE MARDEROSIAN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "MARDEROSIAN DMD",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "818-239-2217",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brand Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 2, 2025; 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.