Individual provider Active NPI

Armen Terteryan, D.D.S.

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1720118201
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51142 Issued in CA
Practice address
6325 Topanga Canyon Blvd Ste 320
Woodland Hills, CA 91367-2012
Phone
(818) 716-7966
Fax
(818) 716-8838
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51142 CA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd Ste 320
Woodland Hills, CA 91367-2012

Mailing address

6325 Topanga Canyon Blvd Ste 320
Woodland Hills, CA 91367-2012
Phone (818) 716-7966

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
51142CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Armen Terteryan DDS General Practice 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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1720118201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 320",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672012",
            "telephone_number": "818-716-7966",
            "fax_number": "818-716-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 320",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672012",
            "telephone_number": "818-716-7966",
            "fax_number": "818-716-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERTERYAN",
        "first_name": "ARMEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.