Individual provider Active NPI

Gabriel T Aslanian, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, GA
National Provider Identifier
1245305358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
43580 Issued in CA
Practice address
230 N Maryland Ave
#101
Glendale, GA 91206
Phone
(818) 247-3317
Fax
(818) 247-0635
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 43580 CA Primary

Addresses

Primary practice location

230 N Maryland Ave
#101
Glendale, GA 91206

Mailing address

230 N Maryland Ave
#101
Glendale, GA 91206
Phone (818) 247-3317

Other identifiers 1

IdentifierTypeStateIssuer
B3913002MedicaidCA

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
I20210304001896 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0840181780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43580CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Yervant G Aslanian, DDS, MD Oral and Maxillofacial Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gaslanian27597@direct.uclahealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245305358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE",
            "address_2": "#101",
            "city": "GLENDALE",
            "state": "GA",
            "postal_code": "91206",
            "telephone_number": "818-247-3317",
            "fax_number": "818-247-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE",
            "address_2": "#101",
            "city": "GLENDALE",
            "state": "GA",
            "postal_code": "91206",
            "telephone_number": "818-247-3317",
            "fax_number": "818-247-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLANIAN",
        "first_name": "GABRIEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "43580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3913002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.