Individual provider Active NPI

Gagik Melitonyan, D.D.S.

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1346371952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51286 Issued in CA
Practice address
1160 N Central Ave
Suite 211
Glendale, CA 91202-2510
Phone
(818) 240-0051
Fax
(818) 507-4370
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 51286 CA Primary

Addresses

Primary practice location

1160 N Central Ave
Suite 211
Glendale, CA 91202-2510

Mailing address

1160 N Central Ave
Suite 211
Glendale, CA 91202-2510
Phone (818) 240-0051

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

Practice roles

OrganizationSpecialtyStatusNew patients
H Arakelyan Dental Inc General Practice Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346371952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N CENTRAL AVE",
            "address_2": "SUITE 211",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022510",
            "telephone_number": "818-240-0051",
            "fax_number": "818-507-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N CENTRAL AVE",
            "address_2": "SUITE 211",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022510",
            "telephone_number": "818-240-0051",
            "fax_number": "818-507-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELITONYAN",
        "first_name": "GAGIK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51286",
            "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 8, 2007; 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.