Derik Alexanians DDS Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51319 Issued in CA

Legal business name

DERIK ALEXANIANS DDS APC

Practice address

520 E. Broadway
Suite 102
Glendale, CA 91205

Phone

(818) 242-4046

Fax

(818) 244-6110

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Derik Alexanians, DDS

Title

Owner

Phone

(818) 632-5940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1427292770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 KEMPTON RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "818-242-4046",
            "fax_number": "818-244-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E. BROADWAY",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-242-4046",
            "fax_number": "818-244-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIK ALEXANIANS DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANIANS",
        "authorized_official_first_name": "DERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-632-5940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahin Derboghossians, MD
• Karolin Derhartonian-Deravanessian, D.C.
• Garen Derhartunian, M.D.
• Narek Derhartunian, PHARMD
• Audrey Derian, AMFT APCC
• Rita Derkalousdian, DO
• Dermacraft Inc
• Dermavex Wound Care
• Daniel Dermendjian, MD
• Mihran Dermenjian, PHARM.D.

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Apr 29, 2009; 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.