NPIMap

Organization Active NPI

Derhartounian Dental Corporation

  • Dentist
  • La Canada Flintridge, CA
National Provider Identifier
1497289029
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41394 Issued in CA
Legal business name
DERHARTOUNIAN DENTAL CORPORATION
Practice address
4542 Rinetti LN
La Canada Flintridge, CA 91011-3359
Phone
(818) 495-3141
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mr. Henrik Derhartonian
Title
V.P
Phone
(323) 725-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41394 CA Primary

Addresses

Primary practice location

4542 Rinetti LN
La Canada Flintridge, CA 91011-3359

Mailing address

4542 Rinetti LN
La Canada Flintridge, CA 91011-3359
Phone (818) 495-3141

National Provider Directory

National Provider Directory
Tax ID family
Derhartounian Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1497289029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 RINETTI LN",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113359",
            "telephone_number": "818-495-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 RINETTI LN",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113359",
            "telephone_number": "818-495-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERHARTOUNIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "DERHARTONIAN",
        "authorized_official_first_name": "HENRIK",
        "authorized_official_title_or_position": "V.P",
        "authorized_official_telephone_number": "323-725-6797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.