Arbi Daniel Aboolian, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64620 Issued in CA

Practice address

520 E Broadway Ste 102
Glendale, CA 91205-4912

Phone

(818) 484-0620

NPI assigned

Jul 1, 2015

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2015.

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1235512864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E BROADWAY STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054912",
            "telephone_number": "818-484-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E BROADWAY STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054912",
            "telephone_number": "818-484-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOOLIAN",
        "first_name": "ARBI",
        "middle_name": "DANIEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Glendale, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.