NPIMap

Organization Active NPI

Karen Baghdasaryan Dental Corporation

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1679780464
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50409 Issued in CA
Legal business name
KAREN BAGHDASARYAN DENTAL CORPORATION
Practice address
6300 San Fernando Rd
Glendale, CA 91201-2414
Phone
(818) 547-4455
Fax
(818) 547-9955
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Karen Baghdasaryan, DDSNPI 1518983931
Title
Ceo
Phone
(818) 547-4455

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50409 CA Primary

Addresses

Primary practice location

6300 San Fernando Rd
Glendale, CA 91201-2414

Mailing address

6300 San Fernando Rd
Glendale, CA 91201-2414
Phone (818) 547-4455

Other identifiers 2

IdentifierTypeStateIssuer
G9307801MedicaidCA
G9834801OtherCABILLING PROVIDER

Other names 1

  • Cyberdent Doing business as

National Provider Directory

National Provider Directory

Locations

6300 San Fernando Rd
Glendale, CA 91201
Phone (818) 547-4455

Practitioners & affiliated clinicians

Practitioners 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1679780464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012414",
            "telephone_number": "818-547-4455",
            "fax_number": "818-547-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012414",
            "telephone_number": "818-547-4455",
            "fax_number": "818-547-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN BAGHDASARYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-547-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9307801",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING PROVIDER",
            "identifier": "G9834801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cyberdent",
            "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 Jun 12, 2008; 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.