Individual provider Active NPI

Armen Karimyan, DDS

  • Dentist
  • La Quinta, CA
National Provider Identifier
1487749214
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53229 Issued in CA
Practice address
78138 Calle Tampico
Suite 100
La Quinta, CA 92253-2920
Phone
(760) 777-0114
Fax
(760) 777-8270
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53229 CA Primary

Addresses

Primary practice location

78138 Calle Tampico
Suite 100
La Quinta, CA 92253-2920

Mailing address

78138 Calle Tampico
Suite 100
La Quinta, CA 92253-2920
Phone (760) 777-0114

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161027002584 CA Order and Referring Only - DentistPractitioner - Dentist 9436437357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1487749214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78138 CALLE TAMPICO",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532920",
            "telephone_number": "760-777-0114",
            "fax_number": "760-777-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78138 CALLE TAMPICO",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532920",
            "telephone_number": "760-777-0114",
            "fax_number": "760-777-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMYAN",
        "first_name": "ARMEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.