Individual provider Active NPI

Albrik Nazarian, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1679872188
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15195 Issued in TX
Practice address
6430 Richmond Ave
Ste # 110
Houston, TX 77057-5917
Phone
(713) 621-7777
Fax
(713) 785-0848
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15195 TX Primary

Addresses

Primary practice location

6430 Richmond Ave
Ste # 110
Houston, TX 77057-5917

Mailing address

6430 Richmond Ave
Ste # 110
Houston, TX 77057-5917
Phone (713) 621-7777

Other identifiers 1

IdentifierTypeStateIssuer
800622716MedicaidTX

Other names 1

  • Albrik Nazarian Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15195TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1679872188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE",
            "address_2": "STE # 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575917",
            "telephone_number": "713-621-7777",
            "fax_number": "713-785-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE",
            "address_2": "STE # 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575917",
            "telephone_number": "713-621-7777",
            "fax_number": "713-785-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "ALBRIK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800622716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBRIK",
            "last_name": "NAZARIAN",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.