Individual provider Active NPI

Ninette Hacopian, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pasadena, CA
National Provider Identifier
1609246792
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63097 Issued in CA
Practice address
859 N Fair Oaks Ave Ste 120
Pasadena, CA 91103-3078
Phone
(626) 765-6104
Fax
(626) 765-9760
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 63097 CA Primary

Addresses

Primary practice location

859 N Fair Oaks Ave Ste 120
Pasadena, CA 91103-3078

Mailing address

859 N Fair Oaks Ave Ste 120
Pasadena, CA 91103-3078
Phone (626) 765-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ninette Hacopian DDS, Inc Orthodontics and Dentofacial Orthopedics CurrentSince Mar 12, 2024 Accepting new patients
S Shahnazarians DDS a Professional Corp PastSince Mar 12, 2024 Accepting new patients

Locations

859 N Fair Oaks Ave
Ste 120
Pasadena, CA 91103
Phone (626) 765-6104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1609246792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 N FAIR OAKS AVE STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033078",
            "telephone_number": "626-765-6104",
            "fax_number": "626-765-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 N FAIR OAKS AVE STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033078",
            "telephone_number": "626-765-6104",
            "fax_number": "626-765-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACOPIAN",
        "first_name": "NINETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.