Individual provider Active NPI

Aram Arakelyan, D.D.S

  • Dentist
  • Pasadena, CA
National Provider Identifier
1710036181
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52709 Issued in CA
Practice address
720 N Lake Ave Ste 7
Pasadena, CA 91104-5810
Phone
(626) 791-0100
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 52709 CA Primary

Addresses

Primary practice location

720 N Lake Ave Ste 7
Pasadena, CA 91104-5810

Mailing address

19523 E Cypress St
Covina, CA 91724-2066
Phone (626) 786-6204

Other practice location 1

19523 E Cypress St
Covina, CA 91724-2066
Phone (626) 786-6204

Other practice location 2

1511 W Holt Blvd Ste E
Ontario, CA 91762-3657
Phone (909) 986-8877

Other identifiers 2

IdentifierTypeStateIssuer
B52709OtherCADENTICAL TREATING PROV. #
G93410-01OtherCADENTICAL BILLING PROVIDER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL newmillenniumdental.com

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
52709CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Millennium Dental Group of Aram Arakelyan CurrentSince Sep 1, 2019 Accepting new patients

Locations

19523 E Cypress St
Covina, CA 91724
Phone (626) 331-4538

1511 W Holt Blvd
Ste E
Ontario, CA 91762
Phone (909) 966-8877

720 N Lake Ave
Ste 7
Pasadena, CA 91104
Phone (626) 791-0100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1710036181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19523 E CYPRESS ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242066",
            "telephone_number": "626-786-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LAKE AVE STE 7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911045810",
            "telephone_number": "626-791-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19523 E Cypress St",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917242066",
            "country_code": "US",
            "telephone_number": "626-786-6204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 W Holt Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623657",
            "country_code": "US",
            "telephone_number": "909-986-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAKELYAN",
        "first_name": "ARAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL TREATING PROV. #",
            "identifier": "B52709",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL BILLING PROVIDER",
            "identifier": "G93410-01",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "newmillenniumdental.com",
            "affiliation": "N",
            "address_1": "19523 E Cypress St",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917242066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 28, 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.