Andre Eliasian Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

62927 Issued in CA

Legal business name

ANDRE ELIASIAN DENTAL CORPORATION

Practice address

1224 Stanley Ave Unit 10
Glendale, CA 91206-5629

Phone

(818) 632-5005

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andre Eliasian, DDSNPI 1023443454

Title

Owner/Dentist

Phone

(818) 632-5005

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Andre Eliasian DDS Inc

  • General Practice Dentistry
  • Granada Hills, CA
  • NPI 1356196455
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre Eliasian, DDS

  • Dentist
  • Glendale, CA
  • NPI 1023443454
  NPD (past) Authorized official
• Gourgen Almasi, DDS

  • Dentist
  • Burbank, CA
  • NPI 1770728511
  NPD (past)

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1508281387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E VERDUGO AVE",
            "address_2": "208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021300",
            "telephone_number": "818-861-7427",
            "fax_number": "818-861-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 STANLEY AVE UNIT 10",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912065629",
            "telephone_number": "818-632-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE ELIASIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "ELIASIAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-632-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keierra Anderson
• Matthew Ian Anderson, LAC
• Michelle Anderson
• Leo Andonian
• Nataly Andrade
• Andre F. Henry Medical Enterprise Inc. (Rely Able Home Health Care)
• Andre Marderosian DMD Inc
• Andre Yarian, M.D., Inc
• Andreh Carapiet MD Inc
• Sargis Andriasyan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.