Individual provider Active NPI

George Bedros Apelian, DDS

  • General Practice Dentistry
  • Agoura Hills, CA
National Provider Identifier
1629170774
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29549 Issued in CA
Practice address
30300 Agoura Rd.
Ste 230
Agoura Hills, CA 91301
Phone
(818) 865-8651
Fax
(818) 865-8647
NPI assigned
Sep 1, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29549 CA Primary

Addresses

Primary practice location

30300 Agoura Rd.
Ste 230
Agoura Hills, CA 91301

Mailing address

30300 Agoura Rd.
Ste 230
Agoura Hills, CA 91301
Phone (818) 865-8651

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160516001954 CA Order and Referring Only - DentistPractitioner - Dentist 1355630229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29549CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltop Dental Office of George Apelian, DDS Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1629170774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 AGOURA RD.",
            "address_2": "STE 230",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-865-8651",
            "fax_number": "818-865-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 AGOURA RD.",
            "address_2": "STE 230",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-865-8651",
            "fax_number": "818-865-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APELIAN",
        "first_name": "GEORGE",
        "middle_name": "BEDROS",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.