NPIMap

Organization Active NPI

B. Deirmenjian, DDS, Inc

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1245716539
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40804 Issued in CA
Legal business name
B. DEIRMENJIAN, DDS, INC
Practice address
12252 Perris Blvd Ste B
Moreno Valley, CA 92557-7418
Phone
(951) 222-2000
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Barouir Arshag DeirmenjianNPI 1225097215
Title
Owner/Ceo
Phone
(310) 497-2211

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 40804 CA Primary

Addresses

Primary practice location

12252 Perris Blvd Ste B
Moreno Valley, CA 92557-7418

Mailing address

12640 Hesperia Rd
Victorville, CA 92395-7753
Phone (760) 241-3336

Other names 1

  • Smiles West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
B Deirmenjian DDS Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

12252 Perris Blvd
Ste B
Moreno Valley, CA 92557
Phone (951) 222-2000

12640 Hesperia Rd
Victorville, CA 92395
Phone (760) 241-3336

Practitioners & affiliated clinicians

Practitioners 2

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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1245716539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957753",
            "telephone_number": "760-241-3336",
            "fax_number": "760-241-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 PERRIS BLVD STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577418",
            "telephone_number": "951-222-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. DEIRMENJIAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "DEIRMENJIAN",
        "authorized_official_first_name": "BAROUIR",
        "authorized_official_middle_name": "ARSHAG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-497-2211"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiles West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.