Argina Kudaverdian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103032 Issued in CA

Practice address

18740 Ventura Blvd Ste 108
Tarzana, CA 91356-6303

Phone

(818) 776-1236

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Argina Kudaverdian DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Tarzana, CA
  • NPI 1366181711

  General Practice

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1477094035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 108",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 108",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566303",
            "telephone_number": "818-776-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDAVERDIAN",
        "first_name": "ARGINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Danielle Krofta, MS
• Heather Sara Krohn
• Trista Krone
• Richard Lee Kroth Jr.
• Leslie Owen Kuberski, PSY.D.
• Evelyn Kung, MA, BCBA
• Karen L Kushell, MA, AMFT, APCC
• Robin Kusilka
• Abel S Kwan, L.AC
• Santina L Kwan, L.AC

• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, 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 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.