Individual provider Active NPI

Harmik Hartounian, DMD

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1376810002
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60744 Issued in CA
Practice address
1021 W Avenue M14
Palmdale, CA 93551-1440
Phone
(661) 267-4000
NPI assigned
Nov 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60744 CA Primary

Addresses

Primary practice location

1021 W Avenue M14
Palmdale, CA 93551-1440

Mailing address

10247 Glory Ave
Tujunga, CA 91042-2003
Phone (818) 434-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002505 CA Practitioner - Oral Surgery 2365743275 Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80744CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delakyan DDS & Hartounian DMD Inc General Practice PastSince Sep 16, 2015 Accepting new patients
Robert Haze DDS, Inc. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1376810002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10247 GLORY AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422003",
            "telephone_number": "818-434-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W AVENUE M14",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511440",
            "telephone_number": "661-267-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTOUNIAN",
        "first_name": "HARMIK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.