Organization Active NPI

Alexandrian Dentistry Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Van Nuys, CA
National Provider Identifier
1417401464
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ALEXANDRIAN DENTISTRY INC.
Practice address
7541 Sepulveda Blvd
Van Nuys, CA 91405-1645
Phone
(818) 891-9468
Fax
(818) 891-1600
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Dr. Nareg Oliver Alexandrian, DDS
Title
Owner
Phone
(818) 640-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7541 Sepulveda Blvd
Van Nuys, CA 91405-1645

Mailing address

15643 Sherman Way
Suite. 220
Van Nuys, CA 91406-4135
Phone (855) 705-3434

Other names 1

  • Kool Dental And Braces of Van Nuys Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexandrian Dentistry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1417401464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE. 220",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "855-705-3434",
            "fax_number": "855-705-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051645",
            "telephone_number": "818-891-9468",
            "fax_number": "818-891-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIAN DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRIAN",
        "authorized_official_first_name": "NAREG",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-640-5889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kool Dental And Braces of Van Nuys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 28, 2016; 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.