Gary H Deukmedjian, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57866 Issued in CA

Practice address

523 E Glenoaks Blvd
Glendale, CA 91207

Phone

(818) 839-1162

NPI assigned

Apr 18, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1598908642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072015",
            "telephone_number": "818-839-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91207",
            "telephone_number": "818-839-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUKMEDJIAN",
        "first_name": "GARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-18",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haibert Derzakarian
• Descanso Anesthesia Group
• Descanso OB/GYN
• Destined to Speak Speech and Language Services
• Dina Deukmajian
• Katherynn Deus
• Ripsime Devedzhyan, MFTI; PPS
• Amanda Tredway Devera, M.S., CCC-SLP
• Devinder S. Gandhi, M.D., Inc.
• Kaylee Devine, B.A.

• 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 May 31, 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.