Khachatur Saryan, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

100964 Issued in CA

Practice address

457 W Colorado St Ste 201
Glendale, CA 91204-4844

Phone

(818) 543-0707

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Saryan Dental Corp.

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1255873592
  Medicare reassignment NPD Authorized official
• David Saryan DDS Inc.

  dba Doctor Dental

  • General Practice Dentistry
  • Tujunga, CA
  • NPI 1811510985
  Medicare reassignment NPD
• Wellness Medical Group Inc

  • General Practice Physician
  • Tujunga, CA
  • NPI 1215369509
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1730630500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 W COLORADO ST STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 W COLORADO ST STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044844",
            "telephone_number": "818-543-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARYAN",
        "first_name": "KHACHATUR",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anais Sarukhanyan
• Adrianna Sarukhnyan
• Saryan Dental Corp.
• Arutyun Saryan, DDS
• David Saryan, DDS
• Sas Medical Management
• Arpine Sashikyen
• Hrayr M. Sassounian, DC
• Satelitte Medication Dispensing
• Prutha Sham Satpute

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.