Organization Active NPI

Gholdoian Dental Corporation

Doing business as Family Dental Center

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1720085111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17684 Issued in CA
Legal business name
GHOLDOIAN DENTAL CORPORATION
Doing business as
Family Dental Center
Practice address
10501 Lakewood Blvd
Suite a
Downey, CA 90241-2709
Phone
(562) 862-2341
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George S. Gholdoian, DDS
Title
President/Owner
Phone
(562) 862-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17684 CA Primary

Addresses

Primary practice location

10501 Lakewood Blvd
Suite a
Downey, CA 90241-2709

Mailing address

10501 Lakewood Blvd
Suite a
Downey, CA 90241-2709
Phone (562) 862-2341

Other identifiers 1

IdentifierTypeStateIssuer
B17684-01OtherCADENTI-CAL

Other names 1

  • Family Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720085111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 LAKEWOOD BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412709",
            "telephone_number": "562-862-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 LAKEWOOD BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412709",
            "telephone_number": "562-862-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOLDOIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOLDOIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "562-862-2341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "17684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B17684-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.