Organization Active NPI

Minasyan & Gevorgyan Dental Corporation

  • Dental Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1649546391
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MINASYAN & GEVORGYAN DENTAL CORPORATION
Practice address
10903 Magnolia Blvd
North Hollywood, CA 91601-3904
Phone
(818) 345-0007
Fax
(818) 345-1360
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dr. Naira Gevorgyan, DDS
Title
Dentist
Phone
(818) 345-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA Primary

Addresses

Primary practice location

10903 Magnolia Blvd
North Hollywood, CA 91601-3904

Mailing address

10903 Magnolia Blvd
North Hollywood, CA 91601-3904
Phone (818) 345-0007

Other names 1

  • MG Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

6265 Sepulveda Blvd
Ste 14
Van Nuys, CA 91411
Phone (818) 345-0007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1649546391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 MAGNOLIA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013904",
            "telephone_number": "818-345-0007",
            "fax_number": "818-345-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 MAGNOLIA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013904",
            "telephone_number": "818-345-0007",
            "fax_number": "818-345-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINASYAN & GEVORGYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "NAIRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-345-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MG Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MG Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.