Active NPI
Edwin Babadjanian
- Endodontics
- Glendale, CA
National Provider Identifier
1629282611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS59108
- Practice address
- 1101 N Pacific Ave Ste 206
Glendale, CA 91202-4367 - Phone
- (818) 548-5544
- NPI assigned
- May 9, 2007
- Last updated
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS59108 | CA | |
| Endodontics | 1223E0200X | DDS59108 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 052912 | NY |
Addresses
Primary practice location
1101 N Pacific Ave Ste 206
Glendale, CA 91202-4367
Mailing address
1101 N Pacific Ave Ste 206
Glendale, CA 91202-4367
Phone (818) 548-5544
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS59108 | CA | MD | Dentist |
| 052912 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Glen Chiropractic, a Professional Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Glendale, CA
- NPI 1801459516
-
- Chiropractor
- Los Angeles, CA
- NPI 1174503072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1629282611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N PACIFIC AVE STE 206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912024367",
"telephone_number": "818-548-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N PACIFIC AVE STE 206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912024367",
"telephone_number": "818-548-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABADJANIAN",
"first_name": "EDWIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS59108",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "DDS59108",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.