Active NPI
Andre Eliasian DDS Inc
- General Practice Dentistry
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ANDRE ELIASIAN DDS INC
- Doing business as
- Andre Eliasian DDS INC
- Practice address
- 17800 Chatsworth St
Granada Hills, CA 91344-5611 - Phone
- (818) 391-0000
- NPI assigned
- Apr 22, 2024
- Organization subpart
- Yes
- Parent organization
- ANDRE ELIASIAN DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre Eliasian, DDS
- Title
- Ceo
- Phone
- (818) 391-0000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
17800 Chatsworth St
Granada Hills, CA 91344-5611
Mailing address
17800 Chatsworth St
Granada Hills, CA 91344-5611
Phone (818) 391-0000
Other names 1
- Andre Eliasian DDS INC
National Provider Directory
National Provider Directory- Part of
- Andre Eliasian Dental Corporation
Locations
17800 Chatsworth St
Granada Hills, CA 91344
Phone (818) 391-0000
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Glendale, CA
- NPI 1508281387
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1356196455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17800 CHATSWORTH ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445611",
"telephone_number": "818-391-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 CHATSWORTH ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445611",
"telephone_number": "818-391-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDRE ELIASIAN DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANDRE ELIASIAN DENTAL CORPORATION",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "ELIASIAN",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-391-0000",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Andre Eliasian DDS INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.