Organization Active NPI

Artur Arkelakyan DDS Inc

  • Dental Clinic/Center
  • Burbank, CA
National Provider Identifier
1295234607
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
101 Issued in CA
Legal business name
ARTUR ARKELAKYAN DDS INC
Practice address
905 S Lake St # 101102
Burbank, CA 91502-2436
Phone
(818) 640-8013
NPI assigned
Feb 12, 2018
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Artur Arkelakyan, DDSNPI 1235662545
Title
President
Phone
(818) 640-8013

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
Dental Clinic/Center 261QD0000X 101 CA Primary

Addresses

Primary practice location

905 S Lake St # 101102
Burbank, CA 91502-2436

Mailing address

905 S Lake St
Ste 102
Burbank, CA 91502-2436
Phone (818) 859-7979

Other names 1

  • Artur Arkelakyan Dental Group Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210204000325 CA Part B Supplier - Clinic/Group Practice 3173937018 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

905 S Lake St
#101102
Burbank, CA 91502
Phone (818) 640-8013

905 S Lake St
Ste 102
Burbank, CA 91502
Phone (818) 859-7979

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1295234607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S LAKE ST",
            "address_2": "STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022436",
            "telephone_number": "818-859-7979",
            "fax_number": "818-859-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S LAKE ST # 101102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022436",
            "telephone_number": "818-640-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTUR ARKELAKYAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "ARKELAKYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-640-8013",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artur Arkelakyan Dental Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.