Organization Active NPI

Jack a. Bayramyan DDS Inc

  • General Practice Dentistry
  • Tarzana, CA
National Provider Identifier
1528849759
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACK A. BAYRAMYAN DDS INC
Practice address
18607 Ventura Blvd Ste 209
Tarzana, CA 91356-4171
Phone
(818) 578-8665
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Dr. Jack A Bayramyan, DDSNPI 1255400479
Title
Owner
Phone
(818) 629-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18607 Ventura Blvd Ste 209
Tarzana, CA 91356-4171

Mailing address

5744 San Fernando Rd Ste 202
Glendale, CA 91202-2181
Phone (702) 900-5005

National Provider Directory

National Provider Directory

Locations

5744 San Fernando Rd
Ste 202
Glendale, CA 91202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1528849759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 SAN FERNANDO RD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022181",
            "telephone_number": "702-900-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 209",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564171",
            "telephone_number": "818-578-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK A. BAYRAMYAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BAYRAMYAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-629-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.