Individual provider Active NPI

Annie Aghajanian-Aboulian, DMD

  • Dentist
  • North Hollywood, CA
National Provider Identifier
1518104678
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55841 Issued in CA
Practice address
6007 Lankershim Blvd Ste 9
North Hollywood, CA 91606-4883
Phone
(818) 505-8083
NPI assigned
Jan 12, 2009
Last updated
Nov 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55841 CA Primary
Public Health Dentistry 1223D0001X 55841 CA
General Practice Dentistry 1223G0001X 55841 CA

Addresses

Primary practice location

6007 Lankershim Blvd Ste 9
North Hollywood, CA 91606-4883

Mailing address

6007 Lankershim Blvd Ste 9
North Hollywood, CA 91606-4883
Phone (818) 505-8083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55841CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Aboulian Dental Group Dental Corporation Current Accepting new patients
Annie Aboulian a Dental Corporation General Practice Current Accepting new patients

Locations

6007 Lankershim Blvd
Ste 9
North Hollywood, CA 91606
Phone (818) 505-8083

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1518104678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 LANKERSHIM BLVD STE 9",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064883",
            "telephone_number": "818-505-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 LANKERSHIM BLVD STE 9",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064883",
            "telephone_number": "818-505-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAJANIAN-ABOULIAN",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55841",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "55841",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.