Individual provider Active NPI

Dennis Mark Arutian, DDS

  • Dentist
  • Thousand Oaks, CA
National Provider Identifier
1710338199
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28840 Issued in CA
Practice address
555 Marin St Ste 190
Thousand Oaks, CA 91360-4104
Phone
(805) 230-1967
Fax
(805) 230-1965
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28840 CA Primary

Addresses

Primary practice location

555 Marin St Ste 190
Thousand Oaks, CA 91360-4104

Mailing address

555 Marin St Ste 190
Thousand Oaks, CA 91360-4104
Phone (805) 230-1967

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
28840CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis M Arutian DDS Inc Past 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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1710338199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARIN ST STE 190",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604104",
            "telephone_number": "805-230-1967",
            "fax_number": "805-230-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN ST STE 190",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604104",
            "telephone_number": "805-230-1967",
            "fax_number": "805-230-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUTIAN",
        "first_name": "DENNIS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.