Alice Chalian Manoukian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33558 Issued in CA

Practice address

1512 W Burbank Blvd
Burbank, CA 91506-1309

Phone

(818) 761-5863

Fax

(818) 843-1663

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alice M Chalian Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alice Chalian, DDS, Inc

  • Dentist
  • Burbank, CA
  • NPI 1538585351
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1508076688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061309",
            "telephone_number": "818-761-5863",
            "fax_number": "818-843-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061309",
            "telephone_number": "818-761-5863",
            "fax_number": "818-843-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOUKIAN",
        "first_name": "ALICE",
        "middle_name": "CHALIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G90617-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL LICENSE NUMBER",
            "identifier": "33558",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "CHALIAN",
            "middle_name": "M",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Selina Mangassarian, PSY.D.
• Manjula Jain MD, Inc.
• Robert Israel Mann, M.A., M.F.T.
• Jessica Manning
• Silvia Manon Alvarez
• Careena Manoukian
• Krikor Hovsep Manoukian, M.D.
• Liana Manriquez
• Robert A Manriquez, P.A.
• Laura Manrriquez Huizar

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.