Individual provider Active NPI

Andrea Alexandarian, DMD

  • Dentist
  • Panorama City, CA
National Provider Identifier
1396884482
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49946 Issued in CA
Practice address
14415 Chase St
Panorama City, CA 91402-3017
Phone
(818) 830-9050
NPI assigned
Feb 5, 2007
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49946 CA Primary
General Practice Dentistry 1223G0001X 49946 CA

Addresses

Primary practice location

14415 Chase St
Panorama City, CA 91402-3017

Mailing address

221 S Oak Knoll Ave
#310
Pasadena, CA 91101-4301
Phone (818) 640-3102

Other names 1

  • Dr. Andrea Alexandrian Other name

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

State licenses

LicenseStateTypeSpecialty
49946CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: aalexandrian@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1396884482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S OAK KNOLL AVE",
            "address_2": "#310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014301",
            "telephone_number": "818-640-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023017",
            "telephone_number": "818-830-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDARIAN",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49946",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ALEXANDRIAN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.