Organization Active NPI

Bryan Keropian, DDS a Professional Corporation

  • Dentist
  • Woodland Hills, CA
National Provider Identifier
1427253616
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19916 Issued in CA
Legal business name
BRYAN KEROPIAN, DDS A PROFESSIONAL CORPORATION
Practice address
22062 Ventura Blvd
Woodland Hills, CA 91364-1645
Phone
(818) 702-6002
Fax
(818) 702-9053
NPI assigned
Jun 18, 2007
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Mrs. Debbie Glover
Title
Office Manager
Phone
(818) 702-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19916 CA Primary

Addresses

Primary practice location

22062 Ventura Blvd
Woodland Hills, CA 91364-1645

Mailing address

22062 Ventura Blvd
Woodland Hills, CA 91364-1645
Phone (818) 702-6002

National Provider Directory

National Provider Directory

Locations

18399 Ventura Blvd
Ste 234
Tarzana, CA 91356
Phone (818) 708-3232

301 S Moorpark Rd
Thousand Oaks, CA 91361
Phone (805) 379-0824

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1427253616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22062 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641645",
            "telephone_number": "818-702-6002",
            "fax_number": "818-702-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22062 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641645",
            "telephone_number": "818-702-6002",
            "fax_number": "818-702-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN KEROPIAN, DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-702-6002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "19916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.