David Saryan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102076 Issued in CA

Practice address

457 W Colorado St Ste 201
Glendale, CA 91204-4844

Phone

(818) 543-0707

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

Yes

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.

• David Saryan DDS Inc.

  • General Practice Dentistry
  • Tujunga, CA
  • NPI 1811510985

  CA

  Medicare reassignment NPD Authorized official
• Saryan Dental Corp.

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1255873592

  CA

  Medicare reassignment NPD
• Wellness Medical Group Inc

  • General Practice Physician
  • Tujunga, CA
  • NPI 1215369509
  NPD (past)

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2023.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1417467697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CHEHALEM RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 W COLORADO ST STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044844",
            "telephone_number": "818-543-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Foothill Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tujunga",
            "state": "CA",
            "postal_code": "910422766",
            "country_code": "US",
            "telephone_number": "818-352-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARYAN",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saro Avakian MD a Medical Corp
• Anais Sarukhanyan
• Adrianna Sarukhnyan
• Saryan Dental Corp.
• Arutyun Saryan, DDS
• Khachatur Saryan, D.D.S
• Sas Medical Management
• Arpine Sashikyen
• Hrayr M. Sassounian, DC
• Satelitte Medication Dispensing

• All providers in Glendale, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.