Individual provider Active NPI

Arsen Nazloyan, DDS

  • Dentist
  • Canoga Park, CA
National Provider Identifier
1497034391
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60397 Issued in CA
Practice address
7241 Owensmouth Ave
Canoga Park, CA 91303-1530
Phone
(818) 340-9300
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60397 CA Primary

Addresses

Primary practice location

7241 Owensmouth Ave
Canoga Park, CA 91303-1530

Mailing address

1205 E Windsor Rd
Glendale, CA 91205-2620
Phone (818) 667-2252

Other identifiers 1

IdentifierTypeStateIssuer
60397OtherCADENTAL LISCENSE

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
I20210521001617 CA Practitioner - Oral Surgery 8224437322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60397CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arsen Nazloyan DDS, Inc Dentist CurrentSince Feb 11, 2021 Accepting new patients

Locations

7241 Owensmouth Ave
Canoga Park, CA 91303
Phone (818) 340-9300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1497034391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E WINDSOR RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052620",
            "telephone_number": "818-667-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 OWENSMOUTH AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031530",
            "telephone_number": "818-340-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZLOYAN",
        "first_name": "ARSEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISCENSE",
            "identifier": "60397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.