Clovis II Bayrakdarian, D.M.D., a Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

50037 Issued in CA

Legal business name

CLOVIS II BAYRAKDARIAN, D.M.D., A PROFESSIONAL CORPORATION

Doing business as

Unique Orthodontics

Practice address

427 W Nees Ave Ste 101
Clovis, CA 93611-4434

Phone

(559) 297-2121

Fax

(559) 322-1306

NPI assigned

Apr 7, 2017

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Buruca

Title

Assistant Manager

Phone

(559) 297-2121

Specialties & licenses 1

Addresses

Other names 1

• Unique Orthodontics Doing business as

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1629501416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W NEES AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114434",
            "telephone_number": "559-297-2121",
            "fax_number": "559-322-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W NEES AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114434",
            "telephone_number": "559-297-2121",
            "fax_number": "559-322-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVIS II BAYRAKDARIAN, D.M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BURUCA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "559-297-2121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "50037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Clovis, CA
• Providers in Clovis, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.