Organization Active NPI

Chris Khatchaturian DDS Inc.

  • Dentist
  • Palmdale, CA
National Provider Identifier
1346727666
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48480 Issued in CA
Legal business name
CHRIS KHATCHATURIAN DDS INC.
Practice address
2508 E Palmdale Blvd Ste D
Palmdale, CA 93550-4860
Phone
(661) 947-9990
Fax
(661) 947-2452
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Dr. Chris Khatchaturian, DDSNPI 1063541985
Title
President
Phone
(661) 947-9990

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 48480 CA Primary

Addresses

Primary practice location

2508 E Palmdale Blvd Ste D
Palmdale, CA 93550-4860

Mailing address

2508 E Palmdale Blvd Ste D
Palmdale, CA 93550-4860
Phone (661) 947-9990

Other identifiers 1

IdentifierTypeStateIssuer
48480OtherCADENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

2508 E Palmdale Blvd
Ste D
Palmdale, CA 93550
Phone (661) 947-9990

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": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1346727666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504860",
            "telephone_number": "661-947-9990",
            "fax_number": "661-947-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504860",
            "telephone_number": "661-947-9990",
            "fax_number": "661-947-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS KHATCHATURIAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "KHATCHATURIAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-947-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "48480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.