Individual provider Active NPI

Aris Minas, DDS

  • Dentist
  • Glendale, CA
National Provider Identifier
1720257306
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55198 Issued in CA
Practice address
1528 Canada Blvd
Suite 101
Glendale, CA 91208-2840
Phone
(818) 396-4884
NPI assigned
Feb 27, 2008
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55198 CA Primary

Addresses

Primary practice location

1528 Canada Blvd
Suite 101
Glendale, CA 91208-2840

Mailing address

1528 Canada Blvd
Suite 101
Glendale, CA 91208-2840
Phone (818) 396-4884

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

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1720257306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 CANADA BLVD",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082840",
            "telephone_number": "818-396-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 CANADA BLVD",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082840",
            "telephone_number": "818-396-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAS",
        "first_name": "ARIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.