NPIMap

Organization Active NPI

Armen Manssourian

  • Dental Clinic/Center
  • Glendale, CA
National Provider Identifier
1326561622
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARMEN MANSSOURIAN
Practice address
1122 N Brand Blvd Ste 102
Glendale, CA 91202-2570
Phone
(818) 242-2667
Fax
(818) 242-2667
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joseph Louis Savery
Title
Practice Manager
Phone
(818) 242-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1122 N Brand Blvd Ste 102
Glendale, CA 91202-2570

Mailing address

1122 N Brand Blvd Ste 102
Glendale, CA 91202-2570
Phone (818) 242-2667

National Provider Directory

National Provider Directory

Locations

1122 N Brand Blvd
Ste 102
Glendale, CA 91202
Phone (818) 242-2667

Practitioners & affiliated clinicians

Practitioners 2

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": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326561622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N BRAND BLVD STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022570",
            "telephone_number": "818-242-2667",
            "fax_number": "818-242-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N BRAND BLVD STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022570",
            "telephone_number": "818-242-2667",
            "fax_number": "818-242-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMEN MANSSOURIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAVERY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "818-242-2667"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

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