Individual provider Active NPI

Grigor Greg Sarafian, DMD

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1396318549
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106136 Issued in CA
Practice address
14435 Sherman Way Ste 110
Van Nuys, CA 91405-6229
Phone
(818) 927-3113
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 106136 CA Primary

Addresses

Primary practice location

14435 Sherman Way Ste 110
Van Nuys, CA 91405-6229

Mailing address

14435 Sherman Way Ste 110
Van Nuys, CA 91405-6229
Phone (818) 927-3113

Other practice location 1

6301 Van Nuys Blvd
Van Nuys, CA 91401-2611
Phone (818) 787-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yeghisheh Mirzoyan D.D.S., Inc. Dentist CurrentSince Jul 25, 2021 Accepting new patients
Vachik Danoukh,D.M.D., Inc Multi-Specialty Past Accepting new patients

Locations

14435 Sherman Way
Ste 110
Van Nuys, CA 91405
Phone (818) 873-5821

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1396318549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY STE 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056229",
            "telephone_number": "818-927-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY STE 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056229",
            "telephone_number": "818-927-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914012611",
            "country_code": "US",
            "telephone_number": "818-787-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAFIAN",
        "first_name": "GRIGOR",
        "middle_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "106136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.