Individual provider Active NPI

Vazgen Karapetyan, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, CA
National Provider Identifier
1306573183
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
107714 Issued in CA
Practice address
1741 W Glenoaks Blvd Ste B
Glendale, CA 91201-4735
Phone
(818) 246-0109
NPI assigned
Aug 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 107714 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 107714 CA Primary

Addresses

Primary practice location

1741 W Glenoaks Blvd Ste B
Glendale, CA 91201-4735

Mailing address

1741 W Glenoaks Blvd Ste B
Glendale, CA 91201-4735
Phone (818) 246-0109

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230606002235 CA Practitioner - Oral Surgery 1850758897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107714CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Vazgen Karapetyan Inc General Practice Current Accepting new patients
Tigran Gyokchyan DDS Inc General Practice CurrentSince Aug 1, 2022 Accepting new patients
Vazgen Karapetyan Inc General Practice CurrentSince May 3, 2023 Accepting new patients

Locations

1209 N Hollywood Way
Unit 100
Burbank, CA 91505
Phone (818) 234-1010

1741 W Glenoaks Blvd
Ste B
Glendale, CA 91201
Phone (818) 246-0109

Organizations & group practices 3

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1306573183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014735",
            "telephone_number": "818-246-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014735",
            "telephone_number": "818-246-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAPETYAN",
        "first_name": "VAZGEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107714",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "107714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.