Organization Active NPI

Oganesyan Dental Corporation

  • Dentist
  • Glendale, CA
National Provider Identifier
1407204522
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OGANESYAN DENTAL CORPORATION
Practice address
313 E Broadway # 1625
Glendale, CA 91205-1010
Phone
(818) 232-7227
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Tevan Oganesyan, DDS
Title
Owner
Phone
(949) 646-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

313 E Broadway # 1625
Glendale, CA 91205-1010

Mailing address

313 E Broadway # 1625
Glendale, CA 91205-1010
Phone (818) 232-7227

Other practice location 1

1419 Superior Ave
#6
Newport Beach, CA 92663-2723
Phone (949) 646-4300

National Provider Directory

National Provider Directory

Locations

313 E Broadway
Unit 1625
Glendale, CA 91209

313 E Broadway
#1625
Glendale, CA 91205
Phone (818) 232-7227

1419 Superior Ave
Newport Beach, CA 92663
Phone (818) 335-3288

Practitioners & affiliated clinicians

Practitioners 4

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": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1407204522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E BROADWAY # 1625",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051010",
            "telephone_number": "818-232-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E BROADWAY # 1625",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051010",
            "telephone_number": "818-232-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Superior Ave",
            "address_2": "#6",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926632723",
            "country_code": "US",
            "telephone_number": "949-646-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OGANESYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "TEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-646-4300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.