Individual provider Active NPI

Zareh Maurice Kouyoumdjian, DDS

  • Dentist
  • Studio City, CA
National Provider Identifier
1295890044
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42838 Issued in CA
Practice address
12435 Ventura Blvd
Studio City, CA 91604-2407
Phone
(818) 762-2977
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42838 CA Primary

Addresses

Primary practice location

12435 Ventura Blvd
Studio City, CA 91604-2407

Mailing address

12435 Ventura Blvd
Studio City, CA 91604-2407
Phone (818) 762-2977

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
42838CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zareh M Kouyoumdjian DDS Inc CurrentSince May 22, 2022 Accepting new patients
Z.M. Kouyoumdjian Dental Corporation Dentist Current Accepting new patients

Locations

12435 Ventura Blvd
Studio City, CA 91604
Phone (818) 762-2977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1295890044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042407",
            "telephone_number": "818-762-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042407",
            "telephone_number": "818-762-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUYOUMDJIAN",
        "first_name": "ZAREH",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.