NPIMap

Organization Active NPI

Ghazaryan Professional Dental Corp.

  • General Practice Dentistry
  • Sun Valley, CA
National Provider Identifier
1245620095
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53702 Issued in CA
Legal business name
GHAZARYAN PROFESSIONAL DENTAL CORP.
Practice address
8361 Laurel Canyon Blvd
Sun Valley, CA 91352-3809
Phone
(818) 890-8070
Fax
(818) 890-1474
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Dr. Njdeh Nick Ghazaryan, DDSNPI 1851453427
Title
Dentist
Phone
(818) 970-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53702 CA Primary

Addresses

Primary practice location

8361 Laurel Canyon Blvd
Sun Valley, CA 91352-3809

Mailing address

10445 Laurel Canyon Blvd.
Pacoima, CA 91331-3605
Phone (818) 890-8070

Other names 1

  • ABC KIDS DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

8361 Laurel Canyon Blvd
Sun Valley, CA 91352
Phone (818) 890-8070

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1245620095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 LAUREL CANYON BLVD.",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313605",
            "telephone_number": "818-890-8070",
            "fax_number": "818-890-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523809",
            "telephone_number": "818-890-8070",
            "fax_number": "818-890-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZARYAN PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "NJDEH",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-970-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC KIDS DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.