Roberto Der Boghosian DDS a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31245 Issued in CA

Legal business name

ROBERTO DER BOGHOSIAN DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

6812 Woodman Ave
Van Nuys, CA 91405-4208

Phone

(818) 785-7400

Fax

(818) 785-7958

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Roberto Der Boghosian, DDS

Title

President

Phone

(818) 785-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Roberto Der Boghosian DDS a Professional Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roberto Der Boghosian DDS a Professional Dental Corporation

  • General Practice Dentistry
  • Cudahy, CA
  • NPI 1811042203
  NPD tax ID

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1659435519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 WOODMAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054208",
            "telephone_number": "818-785-7400",
            "fax_number": "818-785-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 WOODMAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054208",
            "telephone_number": "818-785-7400",
            "fax_number": "818-785-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO DER BOGHOSIAN DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "DER BOGHOSIAN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-785-7400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G90696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• March Angela Y Roan, MD
• Charles W Robbins
• Jauton Robbins
• Robert Bentley Armani Chiropractic Corporation (Armani Chiropractic)
• Yola Robert
• Andrea Roberts, PT
• Mark A Robinson
• Alyssa Joann Robles
• Elizabeth Robles
• Ivonne Monica Robles

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.