Organization Active NPI

Araxie Yetenekian-Gettas, D.M.D., Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1376609032
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35186 Issued in CA
Legal business name
ARAXIE YETENEKIAN-GETTAS, D.M.D., INC.
Practice address
2028 W Pico Blvd
Los Angeles, CA 90006-5011
Phone
(213) 380-5506
Fax
(213) 380-0754
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Araxie Yetenekian-Gettas, D.M.D.NPI 1629147038
Title
President
Phone
(818) 246-0985

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 35186 CA Primary

Addresses

Primary practice location

2028 W Pico Blvd
Los Angeles, CA 90006-5011

Mailing address

2028 W Pico Blvd
Los Angeles, CA 90006-5011
Phone (213) 380-5506

Other identifiers 1

IdentifierTypeStateIssuer
G93782-03MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Araxie Yetenekian-Gettas DMD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2028 W Pico Blvd
Los Angeles, CA 90006
Phone (213) 380-5506

Practitioners & affiliated clinicians

Practitioners 3

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1376609032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065011",
            "telephone_number": "213-380-5506",
            "fax_number": "213-380-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065011",
            "telephone_number": "213-380-5506",
            "fax_number": "213-380-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAXIE YETENEKIAN-GETTAS, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "YETENEKIAN-GETTAS",
        "authorized_official_first_name": "ARAXIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-246-0985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93782-03",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.