Organization Active NPI

Karakozian and Kotchounian Dental Corp

Doing business as Dental Design Studio City

  • Dentist
  • Studio City, CA
National Provider Identifier
1710412309
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58653 Issued in CA
Legal business name
KARAKOZIAN AND KOTCHOUNIAN DENTAL CORP
Doing business as
Dental Design Studio City
Practice address
12265 Ventura Blvd
Suite 208
Studio City, CA 91604-2528
Phone
(818) 538-8899
Fax
(818) 334-4495
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Talin Kotchounian Petrosian, D.D.S.
Title
Owner
Phone
(818) 538-8899

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 58653 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 56643 CA
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 58636 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 61160 CA

Addresses

Primary practice location

12265 Ventura Blvd
Suite 208
Studio City, CA 91604-2528

Mailing address

12265 Ventura Blvd
Suite 208
Studio City, CA 91604-2528
Phone (818) 538-8899

Other names 1

  • Dental Design Studio City Doing business as

National Provider Directory

National Provider Directory

Locations

12265 Ventura Blvd
Ste 208
Studio City, CA 91604
Phone (818) 538-8899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1710412309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 VENTURA BLVD",
            "address_2": "SUITE 208",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042528",
            "telephone_number": "818-538-8899",
            "fax_number": "818-334-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 VENTURA BLVD",
            "address_2": "SUITE 208",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042528",
            "telephone_number": "818-538-8899",
            "fax_number": "818-334-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARAKOZIAN AND KOTCHOUNIAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "PETROSIAN",
        "authorized_official_first_name": "TALIN",
        "authorized_official_middle_name": "KOTCHOUNIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-538-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58653",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56643",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58636",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "61160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Design Studio City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.