Individual provider Active NPI

Carolyn Marie Alyanakian-Smith, D.D.S.

  • General Practice Dentistry
  • Los Banos, CA
National Provider Identifier
1235357385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43678 Issued in CA
Practice address
1314 S 6TH St
Los Banos, CA 93635-4729
Phone
(209) 827-9226
Fax
(209) 827-7679
NPI assigned
Apr 23, 2007
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
General Practice Dentistry 1223G0001X 43678 CA Primary

Addresses

Primary practice location

1314 S 6TH St
Los Banos, CA 93635-4729

Mailing address

1314 S 6TH St
Los Banos, CA 93635-4729
Phone (209) 827-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512000646 CA Order and Referring Only - DentistPractitioner - Dentist 4385963404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew a Smith, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235357385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S 6TH ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354729",
            "telephone_number": "209-827-9226",
            "fax_number": "209-827-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S 6TH ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354729",
            "telephone_number": "209-827-9226",
            "fax_number": "209-827-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYANAKIAN-SMITH",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.