Keklikian Grigorian Dental, Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

KEKLIKIAN GRIGORIAN DENTAL, INC.

Doing business as

Camarillo Endodontics

Practice address

3901 Las Posas Rd Ste 6
Camarillo, CA 93010-1502

Phone

(805) 484-0555

Fax

(805) 484-0553

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vatche Keklikian, D.D.S.

Title

President

Phone

(805) 484-0555

Specialties & licenses 1

Addresses

Other names 1

• Camarillo Endodontics Doing business as

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1689861676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 6",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101502",
            "telephone_number": "805-484-0555",
            "fax_number": "805-484-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 6",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101502",
            "telephone_number": "805-484-0555",
            "fax_number": "805-484-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEKLIKIAN GRIGORIAN DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "KEKLIKIAN",
        "authorized_official_first_name": "VATCHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-484-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camarillo Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Salgado Kawaguchi
• Emily Kawaguchi
• Heather Kawaguchi, DPT
• Vonda K. Keces, CATC
• James Dale Keener, PH D
• Sara Kathleen Kelehan
• Tanya Kellam, MSW
• Jaylee Rene Kellar
• Amy Kelley
• Heidi Castro Kelly, M.A.

• Endodontics in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.