Individual provider Active NPI

Silva Mkrtchyan, DDS

  • Dentist
  • Glendale, CA
National Provider Identifier
1710179502
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56099 Issued in CA
Practice address
1142 Linden Ave Apt 205
Glendale, CA 91201-3349
Phone
(818) 953-4290
Fax
(818) 953-4290
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56099 CA Primary

Addresses

Primary practice location

1142 Linden Ave Apt 205
Glendale, CA 91201-3349

Mailing address

1142 Linden Ave Apt 205
Glendale, CA 91201-3349
Phone (818) 953-4290

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
Bright and White Hospice Current Accepting new patients

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1710179502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 LINDEN AVE APT 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013349",
            "telephone_number": "818-953-4290",
            "fax_number": "818-953-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 LINDEN AVE APT 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013349",
            "telephone_number": "818-953-4290",
            "fax_number": "818-953-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKRTCHYAN",
        "first_name": "SILVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56099",
            "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 Aug 15, 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.