Individual provider Active NPI

Harut Hakobyan, DDS

  • Dentist
  • Burbank, CA
National Provider Identifier
1437764792
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105522 Issued in CA
Practice address
1624 W Olive Ave Ste E
Burbank, CA 91506-2459
Phone
(818) 786-8494
NPI assigned
Sep 14, 2020
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105522 CA Primary

Addresses

Primary practice location

1624 W Olive Ave Ste E
Burbank, CA 91506-2459

Mailing address

837 E Santa Anita Ave
Burbank, CA 91501-1505
Phone (818) 568-3722

Other identifiers 1

IdentifierTypeStateIssuer
462362498MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105522CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harut Hakobyan DDS Inc CurrentSince Feb 4, 2024 Accepting new patients

Locations

1624 W Olive Ave
Ste E
Burbank, CA 91506
Phone (818) 845-2392

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1437764792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 E SANTA ANITA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011505",
            "telephone_number": "818-568-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE STE E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-786-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKOBYAN",
        "first_name": "HARUT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462362498",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.