Active NPI
Mher Grigoryan, DDS
- Dentist
- Pasadena, CA
National Provider Identifier
1730169392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53219
- Practice address
- 2036 Lincoln Ave
Pasadena, CA 91103-1323 - Phone
- (626) 797-6555
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53219 | CA | Primary |
Addresses
Primary practice location
2036 Lincoln Ave
Pasadena, CA 91103-1323
Mailing address
2036 Lincoln Ave
Pasadena, CA 91103-1323
Phone (747) 272-9649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000532190 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53219 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Mher Grigoryan DDS Dental Corporation | Dentist | Current | Accepting new patients |
Locations
2036 Lincoln Ave
Pasadena, CA 91103
Phone (626) 797-6555
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.
-
- Dentist
- Pasadena, CA
- NPI 1992232615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1730169392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 LINCOLN AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031323",
"telephone_number": "747-272-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 LINCOLN AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031323",
"telephone_number": "626-797-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGORYAN",
"first_name": "MHER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000532190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.