NPIMap

Organization Active NPI

Raffi Guedikian DDS Inc

Doing business as Select Dental Practice

  • General Practice Dentistry
  • El Monte, CA
National Provider Identifier
1548456130
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37424 Issued in CA
Legal business name
RAFFI GUEDIKIAN DDS INC
Doing business as
Select Dental Practice
Practice address
3116 Peck Rd
El Monte, CA 91731-3428
Phone
(626) 454-2444
Fax
(626) 454-1515
NPI assigned
Sep 18, 2007
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Raffi Albert Guedikian, DDSNPI 1720142003
Title
Dentist/Owner
Phone
(626) 454-2444

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 Dentistry 1223G0001X 37424 CA Primary

Addresses

Primary practice location

3116 Peck Rd
El Monte, CA 91731-3428

Mailing address

3116 Peck Rd
El Monte, CA 91731-3428
Phone (626) 454-2444

Other identifiers 1

IdentifierTypeStateIssuer
G9359101OtherCADENTI-CAL

Other names 1

  • SELECT DENTAL PRACTICE Doing business as

National Provider Directory

National Provider Directory

Locations

3116 Peck Rd
El Monte, CA 91731
Phone (626) 454-2444

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1548456130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313428",
            "telephone_number": "626-454-2444",
            "fax_number": "626-454-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313428",
            "telephone_number": "626-454-2444",
            "fax_number": "626-454-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI GUEDIKIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GUEDIKIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "626-454-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G9359101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELECT DENTAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.