Stephan Moradians, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34527 Issued in CA

Practice address

600 W Broadway Ste 120
Glendale, CA 91204-1023

Phone

(818) 409-0924

Fax

(818) 409-8940

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710075783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041023",
            "telephone_number": "818-409-0924",
            "fax_number": "818-409-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041023",
            "telephone_number": "818-409-0924",
            "fax_number": "818-409-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADIANS",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9378501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahsa Moradi, LMFT
• Melani Moradi
• Alfret Moradian, M.D
• Martin Moradian, D.P.M.
• Maxim Moradian, M.D.
• Juliane Morado, PTA
• Andrea Morales
• Juan Carlos Morales
• Kristal Morales
• Patricia Morales, PSYD, LP

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.