Individual provider Active NPI

Megan Arman Doudian, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1699087494
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60623 Issued in CA
Practice address
1060 E Green St Ste 203
Pasadena, CA 91106-2436
Phone
(626) 577-2017
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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 60623 CA Primary

Addresses

Primary practice location

1060 E Green St Ste 203
Pasadena, CA 91106-2436

Mailing address

1060 E Green St Ste 203
Pasadena, CA 91106-2436
Phone (626) 577-2017

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
60623CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1699087494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E GREEN ST STE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062436",
            "telephone_number": "626-577-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E GREEN ST STE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062436",
            "telephone_number": "626-577-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUDIAN",
        "first_name": "MEGAN",
        "middle_name": "ARMAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.