Active NPI
Town Center Dentistry
Doing business as esthetic dentistry
- Dentist
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50563
- Legal business name
- TOWN CENTER DENTISTRY
- Doing business as
- esthetic dentistry
- Practice address
- 1902 W Glenoaks Blvd
Glendale, CA 91201-1616 - Phone
- (818) 638-7200
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hamlet Avanesian
- Title
- DDS
- Phone
- (818) 548-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50563 | CA | Primary |
Addresses
Primary practice location
1902 W Glenoaks Blvd
Glendale, CA 91201-1616
Mailing address
316 E Broadway # a
Glendale, CA 91205-1011
Phone (818) 548-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9338001 | Other | CA | DENTI-CAL |
Other names 1
- esthetic dentistry
National Provider Directory
National Provider DirectoryLocations
316 E Broadway
#A
Glendale, CA 91205
Phone (818) 548-7700
1902 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 638-7200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Glendale, CA
- NPI 1437260080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1639548050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 E BROADWAY # A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051011",
"telephone_number": "818-548-7700",
"fax_number": "818-548-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011616",
"telephone_number": "818-638-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN CENTER DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "AVANESIAN",
"authorized_official_first_name": "HAMLET",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "818-548-7700",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "50563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G9338001",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "esthetic dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.