Individual provider Active NPI

Edward Araz Adourian, DDS

  • General Practice Dentistry
  • Carlsbad, CA
National Provider Identifier
1326229907
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56583 Issued in CA
Practice address
5814 Van Allen Way Ste 220
Carlsbad, CA 92008-7360
Phone
(760) 918-9000
NPI assigned
Nov 23, 2007
Last updated
Mar 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56583 CA Primary

Addresses

Primary practice location

5814 Van Allen Way Ste 220
Carlsbad, CA 92008-7360

Mailing address

29 Morning Dove
Irvine, CA 92604-3220
Phone (508) 868-2039

Other names 1

  • Araz Adourian Former name

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
I20160215002260 CA Order and Referring Only - DentistPractitioner - Dentist 4981908738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56583CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Adourian DDS, Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1326229907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MORNING DOVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043220",
            "telephone_number": "508-868-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 VAN ALLEN WAY STE 220",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087360",
            "telephone_number": "760-918-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOURIAN",
        "first_name": "EDWARD",
        "middle_name": "ARAZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARAZ",
            "last_name": "ADOURIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.