Organization Active NPI

Ghorbanian PLLC

  • Dentist
  • Walla Walla, WA
National Provider Identifier
1588958995
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60169589 Issued in WA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.