Raymond Grigorian, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

49892 Issued in CA

Practice address

4646 Lowell Ave
La Crescenta, CA 91214-1634

Phone

(818) 541-1421

NPI assigned

Jan 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1306084223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 LOWELL AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141634",
            "telephone_number": "818-541-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 LOWELL AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141634",
            "telephone_number": "818-541-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORIAN",
        "first_name": "RAYMOND",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "49892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asmik Goukasian, LAC MD
• Grancare LLC
• Amanda Granier, LCSW
• Amanda Rose Granier
• Robert Sar Greenburg, M.D.
• Dana Richardson Grip, PHD
• Guidance Counseling Group
• Shant Gurjian
• Lawrence Ham
• Sara Hanes, M.S., CCC-SLP

• Endodontics in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.