Active NPI
Edvin Agadzhanov DDS Inc
- General Practice Dentistry
- Canyon Country, CA
National Provider Identifier
1356655765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57233
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edvin Agadzhanov, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Santa Barbara, CA
- NPI 1780848887
-
- General Practice Dentistry
- Canyon Country, CA
- NPI 1316122658
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.