Harmik Derhartounian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41394 Issued in CA

Practice address

111 S Garfield Ave Ste 101
Montebello, CA 90640-3806

Phone

(323) 725-6797

Fax

(323) 725-7692

NPI assigned

Dec 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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.

• Derhartounian Dental Corporation

  dba Pacific Dental Group

  • General Practice Dentistry
  • Montebello, CA
  • NPI 1033251970
  NPD Authorized official
• Derhartounian Dental Corporation

  • Dentist
  • La Canada Flintridge, CA
  • NPI 1497289029
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1487837803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S. GARFILED AVE # 101",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-725-6797",
            "fax_number": "323-725-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GARFIELD AVE STE 101",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403806",
            "telephone_number": "323-725-6797",
            "fax_number": "323-725-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERHARTOUNIAN",
        "first_name": "HARMIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENITCAL",
            "identifier": "B-41394-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B41394-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavio Delgado, PSYCHOLOGIST
• Dennis K Kuwaye Jr DDS Inc (Kuwaye dental)
• Dental Care of Montebello
• Dentalville (leonid glosman)
• Derhartounian Dental Corporation (Pacific Dental Group)
• Kamlesh Taneja Dhawan, MD
• Rahul Dhawan, D.O.
• Vijay M Dhawan, M.D.
• Prarthana Dhotre, DR.
• Diamond Respiratory Care, Inc.

• Dentist in Montebello, CA
• Providers in Montebello, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.