Kenneth Karamyan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50618 Issued in CA

Practice address

2920 Lyon St
San Francisco, CA 94123-3226

Phone

(415) 737-0430

NPI assigned

Jul 24, 2006

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Karen Karamyan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth Karamyan DDS Inc

  dba Presidio Dental

  • Dentist
  • San Francisco, CA
  • NPI 1699199950
  Medicare reassignment Authorized official
• Kenneth a Karamyan DDS Inc

  • General Practice Dentistry
  • Covina, CA
  • NPI 1639389836
  NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1588686117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 LYON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233226",
            "telephone_number": "415-737-0430",
            "fax_number": "818-785-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 LYON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233226",
            "telephone_number": "415-737-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14435 Hamlin St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914016205",
            "country_code": "US",
            "telephone_number": "818-785-0492",
            "fax_number": "818-785-0491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Lyon St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941233226",
            "country_code": "US",
            "telephone_number": "415-737-0430",
            "fax_number": "818-785-0491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAMYAN",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200569125",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "50618",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KARAMYAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karam Badran, MD
• Marina Karam-Wijelath, MFTI
• Basil Karam, MD
• Aleena Karamally
• Mitsue Nakagaki Karaman
• Ashley Karan
• Lori Deene Karan, MD
• Sarah Karanian, IBCLC
• Alexandra Catherine Karas, LPCC
• Dan Halaban Karasic, MD

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, 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 Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.