Organization Active NPI

Avdalyan Dental Corporation

  • Dentist
  • Pasadena, CA
National Provider Identifier
1346012085
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AVDALYAN DENTAL CORPORATION
Practice address
1546 E Washington Blvd
Pasadena, CA 91104-2657
Phone
(626) 995-1511
Fax
(626) 995-1411
NPI assigned
Oct 26, 2023
Last updated
Jan 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Tigran Avdalyan, DDSNPI 1396424222
Title
Ceo
Phone
(626) 995-1511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1546 E Washington Blvd
Pasadena, CA 91104-2657

Mailing address

1546 E Washington Blvd
Pasadena, CA 91104-2657
Phone (626) 995-1511

National Provider Directory

National Provider Directory

Locations

1546 E Washington Blvd
Pasadena, CA 91104
Phone (626) 791-2552

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1346012085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042657",
            "telephone_number": "626-995-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042657",
            "telephone_number": "626-995-1511",
            "fax_number": "626-995-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVDALYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "AVDALYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-995-1511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.