Missagh Pezeshkian, D.D. S., a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51440 Issued in CA

Legal business name

MISSAGH PEZESHKIAN, D.D. S., A PROFESSIONAL CORPORATION

Practice address

1016 E Broadway Ste 104
Glendale, CA 91205-4534

Phone

(818) 409-0999

Fax

(818) 543-0999

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Missagh Pezeshkian, DDDSNPI 1235345877

Title

Ceo

Phone

(818) 409-0999

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Missagh Pezeshkian, D.D.S.

  • General Practice Dentistry
  • Arcadia, CA
  • NPI 1235345877
  NPD (past) Authorized official
• Armen Joseph Pezeshkian, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glendale, CA
  • NPI 1952841900

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1578062121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054534",
            "telephone_number": "818-409-0999",
            "fax_number": "818-543-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054534",
            "telephone_number": "818-409-0999",
            "fax_number": "818-543-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSAGH PEZESHKIAN, D.D. S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "PEZESHKIAN",
        "authorized_official_first_name": "MISSAGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-409-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilit Mirzoyan, DDS
• Misak Mikayelyan DDS Inc
• Rita Misakyan, NP
• Michael Misetich
• Christelle Miskinian
• Mission City Community Network Inc.
• Mission City Community Network, Inc.
• Mission Home Care Services Inc
• Mission Pharmacy and Medical Supplies Inc.
• Raffi Vartan Missirian

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.