Natalie Derboghossians DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

55001 Issued in CA

Legal business name

NATALIE DERBOGHOSSIANS DDS INC

Practice address

2340 Lake Ave
Altadena, CA 91001-2449

Phone

(818) 319-3197

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Derboghossians, DDS

Title

Dentist/Owner

Phone

(818) 319-3197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1497195887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012449",
            "telephone_number": "818-319-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012449",
            "telephone_number": "818-319-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE DERBOGHOSSIANS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "DERBOGHOSSIANS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-319-3197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Altadena, CA
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• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.