Individual provider Active NPI

Anifa Krekian, D.D.S.

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1699072314
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60122 Issued in CA
Practice address
1305 N Columbus Ave Unit 208
Glendale, CA 91202-1688
Phone
(310) 597-9487
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60122 CA Primary

Addresses

Primary practice location

1305 N Columbus Ave Unit 208
Glendale, CA 91202-1688

Mailing address

1305 N Columbus Ave Unit 208
Glendale, CA 91202-1688
Phone (310) 597-9487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814014709 CA Order and Referring Only - DentistPractitioner - Dentist 9931414216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1699072314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N COLUMBUS AVE UNIT 208",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021688",
            "telephone_number": "310-597-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N COLUMBUS AVE UNIT 208",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021688",
            "telephone_number": "310-597-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREKIAN",
        "first_name": "ANIFA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.