Misak Mikayelyan DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

64753 Issued in CA

Legal business name

MISAK MIKAYELYAN DDS INC

Practice address

702 W Broadway
Glendale, CA 91204-1010

Phone

(818) 568-6454

NPI assigned

May 2, 2017

Last updated

Mar 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Misak Mikayelyan, DDSNPI 1821464801

Title

Owner/DDS

Phone

(818) 568-6454

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Misak Mikayelyan, DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1821464801
  NPD Authorized official

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1417483082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S BEL AIRE DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011504",
            "telephone_number": "818-688-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041010",
            "telephone_number": "818-568-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISAK MIKAYELYAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MIKAYELYAN",
        "authorized_official_first_name": "MISAK",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "818-568-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyron Mirzakhanian
• Talin Mirzakhanian, DACCHM, L.AC.
• Diana Mirzoian, PHARM.D.
• Mirzoyan Dental Corporation
• Lilit Mirzoyan, DDS
• Rita Misakyan, NP
• Michael Misetich
• Christelle Miskinian
• Missagh Pezeshkian, D.D. S., a Professional Corporation
• Mission City Community Network Inc.

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.