Active NPI
Ghorbanian PLLC
- Dentist
- Walla Walla, WA
National Provider Identifier
1588958995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60169589
- Legal business name
- GHORBANIAN PLLC
- Practice address
- 1648 Plaza Way
Walla Walla, WA 99362-4325 - Phone
- (509) 522-2220
- Fax
- (509) 522-0171
- NPI assigned
- Jun 2, 2011
- Last updated
- Jun 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Igor Elperin
- Title
- Dentist
- Phone
- (509) 457-5050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60169589 | WA | Primary |
Addresses
Primary practice location
1648 Plaza Way
Walla Walla, WA 99362-4325
Mailing address
1648 Plaza Way
Walla Walla, WA 99362-4325
Phone (509) 522-2220
National Provider Directory
National Provider DirectoryLocations
1648 Plaza Way
Walla Walla, WA 99362
Phone (509) 522-2220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1588958995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 PLAZA WAY",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624325",
"telephone_number": "509-522-2220",
"fax_number": "509-522-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1648 PLAZA WAY",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624325",
"telephone_number": "509-522-2220",
"fax_number": "509-522-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHORBANIAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "ELPERIN",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "509-457-5050",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WA",
"license": "DE60169589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.