Organization Active NPI

Sanderson and Zargarian Dental Corp.

  • General Practice Dentistry
  • Lancaster, CA
National Provider Identifier
1306181474
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDERSON AND ZARGARIAN DENTAL CORP.
Practice address
2014 W. Ave K
Lancaster, CA 93536-5229
Phone
(661) 729-2990
Fax
(661) 206-6810
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Albert Zargarian, DMDNPI 1255460168
Title
Ceo, President
Phone
(661) 350-3346

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 48480 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2014 W. Ave K
Lancaster, CA 93536-5229

Mailing address

2014 W. Ave K
Lancaster, CA 93536-5229
Phone (661) 729-2990

Other practice location 1

43731 15th St W Ste C
Lancaster, CA 93534-4785
Phone (661) 729-2990

Other identifiers 3

IdentifierTypeStateIssuer
48480OtherCACALIFORNIA DENTAL BOARD
1063541985OtherCANATIONAL PROVIDER NUMBER
50845OtherCACALIFORNIA DENTAL BOARD

Other names 2

  • Smile Dental Group of Lancaster Doing business as
  • Sanderson and Khatchaturian Dental Corp Former legal business name

National Provider Directory

National Provider Directory

Locations

2014 W Avenue K
Lancaster, CA 93536
Phone (661) 729-2990

Practitioners & affiliated clinicians

Practitioners 3

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": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1306181474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 W. AVE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365229",
            "telephone_number": "661-729-2990",
            "fax_number": "661-206-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 W. AVE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365229",
            "telephone_number": "661-729-2990",
            "fax_number": "661-206-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43731 15th St W Ste C",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344785",
            "country_code": "US",
            "telephone_number": "661-729-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDERSON AND ZARGARIAN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "ZARGARIAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "661-350-3346",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48480",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "48480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1063541985",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "50845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental Group of Lancaster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanderson and Khatchaturian Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.