Active NPI
Aghbashian Dental Corp.
- Dental Clinic/Center
- Glendale, CA
National Provider Identifier
1417564733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nova Aghbashian, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61441 | Other | CA | CALIFORNIA DENTAL BAORD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Burbank, CA
- NPI 1568717858
-
- General Practice Dentistry
- Glendale, CA
- NPI 1760433775
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.