Individual provider Active NPI

Roland Markarian, DMD

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1285809830
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54175 Issued in CA
Practice address
1051 W Avenue M14 Ste C
Palmdale, CA 93551-1434
Phone
(661) 265-8884
Fax
(661) 265-0718
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 54175 CA Primary

Addresses

Primary practice location

1051 W Avenue M14 Ste C
Palmdale, CA 93551-1434

Mailing address

1051 W Avenue M14 Ste C
Palmdale, CA 93551-1434
Phone (661) 265-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54175CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roland Markarian DMD a Dental Corporation General Practice CurrentSince Sep 4, 2022 Accepting new patients
Sorour Kids Dental Practice, Inc General Practice PastSince Jun 18, 2023 Accepting new patients

Locations

1011 E Avenue J
Lancaster, CA 93535
Phone (661) 945-5323

1051 W Avenue M14
Ste C
Palmdale, CA 93551
Phone (661) 265-8884

Organizations & group practices 2

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1285809830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W AVENUE M14 STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511434",
            "telephone_number": "661-265-8884",
            "fax_number": "661-265-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W AVENUE M14 STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511434",
            "telephone_number": "661-265-8884",
            "fax_number": "661-265-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKARIAN",
        "first_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.