Armond Kotikian, DDS, MD, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

49568 Issued in CA

Legal business name

ARMOND KOTIKIAN, DDS, MD, PC

Practice address

600 W Broadway Ste 120
Glendale, CA 91204-1023

Phone

(818) 409-0924

Fax

(818) 409-8940

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Armond Kotikian, DDS, MD

Title

President

Phone

(818) 409-0924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1730414004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041023",
            "telephone_number": "818-409-0924",
            "fax_number": "818-409-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041023",
            "telephone_number": "818-409-0924",
            "fax_number": "818-409-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMOND KOTIKIAN, DDS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "KOTIKIAN",
        "authorized_official_first_name": "ARMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-409-0924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "49568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Glendale, CA
• Providers in Glendale, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.