Dr. Michael Balikyan, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. MICHAEL BALIKYAN, INC

Doing business as

South Lake Dental
South Lake Dental, Dental Office of Dr. Michael Balikyan

Practice address

903 E del Mar Blvd
Pasadena, CA 91106-3201

Phone

(626) 844-6674

Fax

(626) 844-6638

NPI assigned

Apr 3, 2019

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Balikyan, DDSNPI 1689621823

Title

Owner/Dentist

Phone

(626) 844-6684

Specialties & licenses 1

Addresses

Other names 2

• South Lake Dental Doing business as
• South Lake Dental, Dental Office of Dr. Michael Balikyan Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Balikyan, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1689621823
  NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1326500844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063201",
            "telephone_number": "626-844-6674",
            "fax_number": "626-844-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063201",
            "telephone_number": "626-844-6674",
            "fax_number": "626-844-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL BALIKYAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BALIKYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "626-844-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lake Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Lake Dental, Dental Office of Dr. Michael Balikyan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dr. Matthew Calkins, Psy.D., a Psychological Corporation
• Dr. Mher Grigoryan DDS Dental Corporation
• Dr. Smit's la Chiropractic and Natural Health Center, Inc. (Pasadena Holistic Chiropractic)
• Dr. Supatra Tovar & Associates, a Psychological Corporation
• Dr. Younes Safa Inc, Apdc (Pasadena Endondontix)
• Dr. Zerri Gross Family Counseling Inc.
• Daphne Mechell Drake

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.