NPIMap

Organization Active NPI

Grisha R. Ovanesian DDS Inc

Doing business as SouthWest Dental

  • Clinic/Center
  • Cathedral City, CA
National Provider Identifier
1578261368
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GRISHA R. OVANESIAN DDS INC
Doing business as
SouthWest Dental
Practice address
68820 Ramon Rd. Southwest Dental
Cathedral City, CA 92234
Phone
(760) 770-0236
Fax
(760) 770-9758
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Grisha R Ovanesian, DDSNPI 1942536149
Title
Dentist DDS
Phone
(760) 770-0236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

68820 Ramon Rd. Southwest Dental
Cathedral City, CA 92234

Mailing address

68820 Ramon Rd. Southwest Dental
Cathedral City, CA 92234
Phone (760) 770-0236

Other identifiers 1

IdentifierTypeStateIssuer
1225364193OtherCAOK DENTAL PARTNERSHIP

Other names 1

  • SouthWest Dental Doing business as

National Provider Directory

National Provider Directory

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": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1578261368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68820 RAMON RD. SOUTHWEST DENTAL",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-0236",
            "fax_number": "760-770-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68820 RAMON RD. SOUTHWEST DENTAL",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-0236",
            "fax_number": "760-770-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISHA R. OVANESIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "OVANESIAN",
        "authorized_official_first_name": "GRISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST DDS",
        "authorized_official_telephone_number": "760-770-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK DENTAL PARTNERSHIP",
            "identifier": "1225364193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthWest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.