Organization Active NPI

Arsen Sukiasyan Dental Corporation

  • Dentist
  • Riverside, CA
National Provider Identifier
1568528099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49999 Issued in CA
Legal business name
ARSEN SUKIASYAN DENTAL CORPORATION
Doing business as
Raincross Dental
Practice address
7000 Indiana Ave
Suite 117
Riverside, CA 92506-4154
Phone
(951) 367-1345
Fax
(951) 367-1347
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arsen Sukiasyan, D.D.S.
Title
President
Phone
(951) 367-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49999 CA Primary

Addresses

Primary practice location

7000 Indiana Ave
Suite 117
Riverside, CA 92506-4154

Mailing address

7000 Indiana Ave
Suite 117
Riverside, CA 92506-4154
Phone (951) 367-1345

Other identifiers 1

IdentifierTypeStateIssuer
G92938MedicaidCA

Other names 1

  • Raincross Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7000 Indiana Ave
Ste 117
Riverside, CA 92506
Phone (951) 788-8032

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568528099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 INDIANA AVE",
            "address_2": "SUITE 117",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064154",
            "telephone_number": "951-367-1345",
            "fax_number": "951-367-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 INDIANA AVE",
            "address_2": "SUITE 117",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064154",
            "telephone_number": "951-367-1345",
            "fax_number": "951-367-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARSEN SUKIASYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUKIASYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-367-1345",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92938",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raincross Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.