Individual provider Active NPI

Armen Minasyan, DDS

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1720270937
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56103 Issued in CA
Practice address
10903 Magnolia Blvd
North Hollywood, CA 91601-3904
Phone
(818) 345-0007
Fax
(818) 345-1360
NPI assigned
Aug 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 56103 CA Primary

Addresses

Primary practice location

10903 Magnolia Blvd
North Hollywood, CA 91601-3904

Mailing address

10903 Magnolia Blvd
North Hollywood, CA 91601-3904
Phone (818) 345-0007

Other practice location 1

18107 Sherman Way
Suite 107
Reseda, CA 91335-4582
Phone (818) 345-0007

Other practice location 2

6265 Sepulveda Blvd Ste 14
Van Nuys, CA 91411-1131
Phone (818) 345-0007

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minasyan & Gevorgyan Dental Corporation CurrentSince Mar 16, 2021 Accepting new patients

Locations

10903 Magnolia Blvd
North Hollywood, CA 91601
Phone (818) 345-0007

6265 Sepulveda Blvd
Ste 14
Van Nuys, CA 91411
Phone (818) 345-0007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720270937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 MAGNOLIA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013904",
            "telephone_number": "818-345-0007",
            "fax_number": "818-345-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 MAGNOLIA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013904",
            "telephone_number": "818-345-0007",
            "fax_number": "818-345-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18107 Sherman Way",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913354582",
            "country_code": "US",
            "telephone_number": "818-345-0007",
            "fax_number": "818-345-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6265 Sepulveda Blvd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914111131",
            "country_code": "US",
            "telephone_number": "818-345-0007",
            "fax_number": "818-345-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINASYAN",
        "first_name": "ARMEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.