Active NPI
Vahe Nahapetyan
- Dentist
- Glendale, CA
National Provider Identifier
1568205995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110175
- Practice address
- 1460 Grandview Ave
Glendale, CA 91201-1418 - Phone
- (818) 502-4840
- NPI assigned
- Jun 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110175 | CA | Primary |
Addresses
Primary practice location
1460 Grandview Ave
Glendale, CA 91201-1418
Mailing address
1038 Spazier Ave Apt 6
Glendale, CA 91201-1651
Phone (818) 422-7776
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110175 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keshishyan Dental Corporation | Current | Accepting new patients |
Locations
1460 Grandview Ave
Glendale, CA 91201
Phone (818) 502-4840
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Glendale, CA
- NPI 1982800744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1568205995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 SPAZIER AVE APT 6",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011651",
"telephone_number": "818-422-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 GRANDVIEW AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011418",
"telephone_number": "818-502-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAHAPETYAN",
"first_name": "VAHE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.