NPIMap

Organization Active NPI

Raffi G. Chalian D.D.S., Inc.

Doing business as camarillo dental studio

  • Dental Clinic/Center
  • Camarillo, CA
National Provider Identifier
1346800109
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAFFI G. CHALIAN D.D.S., INC.
Practice address
2107 Pickwick Dr
Camarillo, CA 93010-6427
Phone
(805) 445-1333
NPI assigned
Jun 14, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Raffi G Chalian, DDSNPI 1831267525
Title
Owner
Phone
(805) 445-1333

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2107 Pickwick Dr
Camarillo, CA 93010-6427

Mailing address

2107 Pickwick Dr
Camarillo, CA 93010-6427
Phone (805) 445-1333

Other identifiers 1

IdentifierTypeStateIssuer
38972OtherCADENTAL LICENSE NUMBER

Other names 1

  • Camarillo Dental Studio Former legal business name

National Provider Directory

National Provider Directory

Locations

2107 Pickwick Dr
Camarillo, CA 93010
Phone (805) 389-1929

Practitioners & affiliated clinicians

Practitioners 2

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": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1346800109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PICKWICK DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106427",
            "telephone_number": "805-445-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PICKWICK DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106427",
            "telephone_number": "805-445-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI G. CHALIAN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "CHALIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-445-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "38972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "camarillo dental studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camarillo Dental Studio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.