Rene Ghotanian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42824 Issued in CA

Practice address

5363 Balboa Blvd Ste 346
Encino, CA 91316-2836

Phone

(818) 990-3551

NPI assigned

Mar 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rene Ghotanian DDS PC

  • Dentist
  • North Hollywood, CA
  • NPI 1154440337
  NPD (past) Authorized official
• Rene Ghotanian DDS PC

  • Dentist
  • Agoura Hills, CA
  • NPI 1427177864
  NPD (past) Authorized official
• Rene Ghotanian DDS PC

  • Dentist
  • Encino, CA
  • NPI 1437278611
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1497874671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 346",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162836",
            "telephone_number": "818-990-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 346",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162836",
            "telephone_number": "818-990-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOTANIAN",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.