Organization Active NPI

Ghazar M. Ghazaryan D.D.S.,Inc

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1538288667
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49322 Issued in CA
Legal business name
GHAZAR M. GHAZARYAN D.D.S.,INC
Practice address
13746 Victory Blvd Ste 113
Van Nuys, CA 91401-6717
Phone
(818) 780-8400
Fax
(818) 780-2275
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Ghazar Mikhail Ghazaryan, D.D.SNPI 1841325164
Title
President
Phone
(818) 780-8400

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49322 CA Primary

Addresses

Primary practice location

13746 Victory Blvd Ste 113
Van Nuys, CA 91401-6717

Mailing address

13746 Victory Blvd Ste 113
Van Nuys, CA 91401-6717
Phone (818) 780-8400

Other identifiers 1

IdentifierTypeStateIssuer
G93223-01MedicaidCA

National Provider Directory

National Provider Directory

Locations

13746 Victory Blvd
Ste 113
Van Nuys, CA 91401
Phone (818) 780-8400

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1538288667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 113",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-780-8400",
            "fax_number": "818-780-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 113",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-780-8400",
            "fax_number": "818-780-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZAR M. GHAZARYAN D.D.S.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "GHAZAR",
        "authorized_official_middle_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-780-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93223-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.