Active NPI
Ghazar M. Ghazaryan D.D.S.,Inc
- General Practice Dentistry
- Van Nuys, CA
National Provider Identifier
1538288667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49322
- 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
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.S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93223-01 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Van Nuys, CA
- NPI 1841325164
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.