Christin Deronian

Primary specialty

DentistTaxonomy code 122300000X

License

65120 Issued in CA

Practice address

1717 Don Carlos Ave
Glendale, CA 91208-2217

Phone

(818) 929-4107

NPI assigned

Sep 29, 2015

Sex

Female

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

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

Locations

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

• Christin V. Deronian, DDS., Inc.

  • Dentist
  • Glendale, CA
  • NPI 1285119974
  NPD Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1609246008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 DON CARLOS AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082217",
            "telephone_number": "818-929-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 DON CARLOS AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082217",
            "telephone_number": "818-929-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERONIAN",
        "first_name": "CHRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adriana Dermgrdichian, PHARM.D.
• Dermobile Inc
• Haibert Derzakarian
• Descanso Anesthesia Group
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• Destined to Speak Speech and Language Services
• Dina Deukmajian

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.