Individual provider Active NPI

Patrick Minassian, D.D.S.

  • Dentist
  • Glendale, CA
National Provider Identifier
1699963751
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56476 Issued in CA
Practice address
801 S Chevy Chase Dr Ste 108
Glendale, CA 91205-4437
Phone
(818) 242-6161
Fax
(818) 242-8184
NPI assigned
Oct 13, 2007
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56476 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr Ste 108
Glendale, CA 91205-4437

Mailing address

801 S Chevy Chase Dr Ste 108
Glendale, CA 91205-4437
Phone (818) 242-6161

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minassian & Karakhanyan Dental PC Dentist Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1699963751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054437",
            "telephone_number": "818-242-6161",
            "fax_number": "818-242-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054437",
            "telephone_number": "818-242-6161",
            "fax_number": "818-242-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASSIAN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-13",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.