Active NPI
Prodent Care, Dental Practice of Tereza Hambarchian, DDS, Inc
- General Practice Dentistry
- Glendale, CA
National Provider Identifier
1427213685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53598
- Legal business name
- PRODENT CARE, DENTAL PRACTICE OF TEREZA HAMBARCHIAN, DDS, INC
- Practice address
- 213 N Orange Street
Suite F
Glendale, CA 91203 - Phone
- (818) 241-3155
- NPI assigned
- Jul 26, 2008
- 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. Tereza Hambarchian, DDS
- Title
- President
- Phone
- (818) 489-2409
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 53598 | CA | Primary |
Addresses
Primary practice location
213 N Orange Street
Suite F
Glendale, CA 91203
Mailing address
213 N Orange Street
Suite F
Glendale, CA 91203
Phone (818) 241-3155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D53598 | Medicaid | CA | |
| 53598 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
213 N Orange St
Ste F
Glendale, CA 91203
Phone (818) 241-3155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Glendale, CA
- NPI 1073579348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445472000000",
"number": "1427213685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 N ORANGE STREET",
"address_2": "SUITE F",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-241-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 N ORANGE STREET",
"address_2": "SUITE F",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-241-3155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRODENT CARE, DENTAL PRACTICE OF TEREZA HAMBARCHIAN, DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-26",
"last_updated": "2015-10-22",
"status": "A",
"authorized_official_last_name": "HAMBARCHIAN",
"authorized_official_first_name": "TEREZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-489-2409",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D53598",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "53598",
"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 Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.