Organization Active NPI

Aghbashian Dental Corp.

  • Dental Clinic/Center
  • Glendale, CA
National Provider Identifier
1417564733
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AGHBASHIAN DENTAL CORP.
Practice address
1000 N Central Ave Ste 130
Glendale, CA 91202-3686
Phone
(818) 242-8892
Fax
(818) 242-2650
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Nova Aghbashian, DDSNPI 1568717858
Title
Dental Provider / Owenr
Phone
(818) 454-9308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1000 N Central Ave Ste 130
Glendale, CA 91202-3686

Mailing address

1000 N Central Ave Ste 130
Glendale, CA 91202-3686
Phone (818) 242-8892

Other identifiers 1

IdentifierTypeStateIssuer
61441OtherCACALIFORNIA DENTAL BAORD

National Provider Directory

National Provider Directory

Locations

1000 N Central Ave
Ste 130
Glendale, CA 91202
Phone (818) 242-8892

Practitioners & affiliated clinicians

Practitioners 2

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1417564733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 130",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023686",
            "telephone_number": "818-242-8892",
            "fax_number": "818-242-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 130",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023686",
            "telephone_number": "818-242-8892",
            "fax_number": "818-242-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHBASHIAN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "AGHBASHIAN",
        "authorized_official_first_name": "NOVA",
        "authorized_official_title_or_position": "DENTAL PROVIDER / OWENR",
        "authorized_official_telephone_number": "818-454-9308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BAORD",
            "identifier": "61441",
            "state": "CA"
        }
    ],
    "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 May 13, 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.