Michael Balikyan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52966 Issued in CA

Practice address

600 S Lake Ave
Suite 206
Pasadena, CA 91106-3955

Phone

(626) 844-6674

Fax

(626) 844-6638

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Michael Balikyan, Inc

  dba South Lake Dental

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1326500844
  NPD Authorized official

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1689621823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S LAKE AVE",
            "address_2": "SUITE 206",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063955",
            "telephone_number": "626-844-6674",
            "fax_number": "626-844-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LAKE AVE",
            "address_2": "SUITE 206",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063955",
            "telephone_number": "626-844-6674",
            "fax_number": "626-844-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIKYAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Field Baldwin, MFT
• Cristina Balesh, PSY.D.
• Harout Raffi Balian, MD
• Krikor Balian, CAADAC
• Sevag Balikian, M.D.
• Kianna Balingit, ACSW
• Cedric Balkum
• Elizabeth Blake Ballance, PT, DPT
• Maddison Elaine Ballard, RD/RDN
• Timothy Cross Ballard, M.D.

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, 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 Aug 2, 2007; 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.