Krikor Bardakjian DDS Inc Acpc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KRIKOR BARDAKJIAN DDS INC ACPC

Practice address

3808 W Riverside Blvd Suite 307
Burbank, CA 91505-4339

Phone

(818) 861-7840

Fax

(818) 861-7843

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Krikor Bardakjian

Title

Owner

Phone

(818) 636-8232

Specialties & licenses 1

Addresses

Other names 1

• Muse Dental Doing business as

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1417567397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE BLVD SUITE 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-861-7840",
            "fax_number": "818-861-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE BLVD SUITE 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-861-7840",
            "fax_number": "818-861-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIKOR BARDAKJIAN DDS INC ACPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BARDAKJIAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-636-8232"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muse Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muse Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.