Individual provider Active NPI

Melineh Mikalian, D.M.D.

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1235273723
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55445 Issued in CA
Practice address
418 E Glenoaks Blvd
Unit 202
Glendale, CA 91207-2035
Phone
(818) 244-5052
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55445 CA Primary

Addresses

Primary practice location

418 E Glenoaks Blvd
Unit 202
Glendale, CA 91207-2035

Mailing address

520 Olmsted Dr
Glendale, CA 91202-1512
Phone (818) 245-0131

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1235273723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 OLMSTED DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021512",
            "telephone_number": "818-245-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E GLENOAKS BLVD",
            "address_2": "UNIT 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072035",
            "telephone_number": "818-244-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKALIAN",
        "first_name": "MELINEH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55445",
            "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 Sep 21, 2012; 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.