Organization Active NPI

Krikor Derbabian, DDS, Inc.

  • Prosthodontics
  • Santa Maria, CA
National Provider Identifier
1699068031
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
39145 Issued in CA
Legal business name
KRIKOR DERBABIAN, DDS, INC.
Practice address
724 E Chapel St
Santa Maria, CA 93454-4524
Phone
(805) 928-0340
Fax
(805) 928-7580
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Krikor Derbabian, D.D.S.
Title
President
Phone
(818) 568-9054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 39145 CA Primary

Addresses

Primary practice location

724 E Chapel St
Santa Maria, CA 93454-4524

Mailing address

724 E Chapel St
Santa Maria, CA 93454-4524
Phone (805) 928-0340

National Provider Directory

National Provider Directory

Locations

724 E Chapel St
Santa Maria, CA 93454
Phone (805) 925-8853

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1699068031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544524",
            "telephone_number": "805-928-0340",
            "fax_number": "805-928-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544524",
            "telephone_number": "805-928-0340",
            "fax_number": "805-928-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIKOR DERBABIAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "DERBABIAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-568-9054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "39145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.