Individual provider Active NPI

Arshak Sargsyan, DDS

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1336876580
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107741 Issued in CA
Practice address
710 S Central Ave Ste 320
Glendale, CA 91204-4612
Phone
(818) 484-8084
Fax
(818) 484-7877
NPI assigned
Aug 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 107741 CA Primary

Addresses

Primary practice location

710 S Central Ave Ste 320
Glendale, CA 91204-4612

Mailing address

710 S Central Ave Ste 320
Glendale, CA 91204-4612
Phone (818) 484-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107741CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arshak Sargsyan DDS, Inc CurrentSince Jan 28, 2024 Accepting new patients
Karapetian Dental Corporation PastSince Nov 20, 2022 Accepting new patients

Locations

710 S Central Ave
Ste 320
Glendale, CA 91204
Phone (818) 484-8084

Organizations & group practices 2

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1336876580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S CENTRAL AVE STE 320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044612",
            "telephone_number": "818-484-8084",
            "fax_number": "818-484-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CENTRAL AVE STE 320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044612",
            "telephone_number": "818-484-8084",
            "fax_number": "818-484-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGSYAN",
        "first_name": "ARSHAK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107741",
            "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 Jan 2, 2024; 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.