Organization Active NPI

Edvin Agadzhanov DDS Inc

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1356655765
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57233 Issued in CA
Legal business name
EDVIN AGADZHANOV DDS INC
Practice address
18984 Soledad Canyon Rd
Canyon Country, CA 91351-3360
Phone
(661) 251-5556
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Edvin Agadzhanov, DDSNPI 1780848887
Title
Ceo
Phone
(818) 267-7571

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 57233 CA Primary

Addresses

Primary practice location

18984 Soledad Canyon Rd
Canyon Country, CA 91351-3360

Mailing address

18984 Soledad Canyon Rd
Canyon Country, CA 91351-3360
Phone (661) 251-5556

National Provider Directory

National Provider Directory

Locations

18984 Soledad Canyon Rd
Canyon Country, CA 91351
Phone (661) 251-5556

Practitioners & affiliated clinicians

Practitioners 2

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": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1356655765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18984 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513360",
            "telephone_number": "661-251-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18984 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513360",
            "telephone_number": "661-251-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDVIN AGADZHANOV DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "AGADZHANOV",
        "authorized_official_first_name": "EDVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-267-7571",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.