Mirzayan Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

45499 Issued in CA

Legal business name

MIRZAYAN DENTAL INC

Practice address

1127 Wilshire Blvd
#1204
Los Angeles, CA 90017-3901

Phone

(818) 399-3509

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Armen Mirzayan, DDS

Title

Owner

Phone

(818) 399-3509

Specialties & licenses 1

Addresses

Other names 1

• CAD-ray Imaging Centers Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1366877417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "#1204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "818-399-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "#1204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "818-399-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZAYAN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "MIRZAYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-399-3509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAD-ray Imaging Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Ali Mirza
• Qasim Mohammad Mirza, M.D.
• Farrah R Mirzaee, ED.D
• Christine Bottrell Mirzaian, M.D.
• Edith Mirzaian, PHARM.D.
• Armen Mirzayan
• Araxi Mirzoyan Kalach, DMD
• Diana Mirzoyan, M.D.
• Gor Mirzoyan, DO
• Augustine-John Misa

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.