Organization Active NPI

Ara G. Jil-Agopian Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Canyon Country, CA
National Provider Identifier
1497908131
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
51082 Issued in CA
Legal business name
ARA G. JIL-AGOPIAN DENTAL CORPORATION
Practice address
27225 Camp Plenty Rd
#10A
Canyon Country, CA 91351-2654
Phone
(661) 252-7641
Fax
(661) 252-2336
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Dr. Ara Jil-Agopian, DDS, MS
Title
President
Phone
(818) 458-9628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 51082 CA Primary

Addresses

Primary practice location

27225 Camp Plenty Rd
#10A
Canyon Country, CA 91351-2654

Mailing address

12660 Dorina PL
Granada Hills, CA 91344-1417
Phone (818) 458-9628

Other names 1

  • Agopian Dental Practice of Santa Clarita, APC Former legal business name

National Provider Directory

National Provider Directory

Locations

27225 Camp Plenty Rd
#10A
Canyon Country, CA 91351
Phone (661) 252-7641

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1497908131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 DORINA PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441417",
            "telephone_number": "818-458-9628",
            "fax_number": "661-252-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27225 CAMP PLENTY RD",
            "address_2": "#10A",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913512654",
            "telephone_number": "661-252-7641",
            "fax_number": "661-252-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA G. JIL-AGOPIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "JIL-AGOPIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-458-9628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agopian Dental Practice of Santa Clarita, APC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.