Active NPI
Karakozian and Kotchounian Dental Corp
Doing business as Dental Design Studio City
- Dentist
- Studio City, CA
National Provider Identifier
1710412309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58653
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58653 | CA | Primary |
| Dentist | 122300000X | 56643 | CA | |
| Endodontics | 1223E0200X | 58636 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Studio City, CA
- NPI 1982836722
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.