NPIMap

Organization Active NPI

Carlos Der Boghossian DDS Inc

  • Dentist
  • Riverside, CA
National Provider Identifier
1750354098
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38832 Issued in CA
Legal business name
CARLOS DER BOGHOSSIAN DDS INC
Practice address
6160 Arlington Ave
Suite D4
Riverside, CA 92504-1900
Phone
(951) 637-0013
Fax
(951) 637-0016
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Carlos Der Boghossian, DENTIST
Title
Owner President
Phone
(951) 637-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38832 CA Primary

Addresses

Primary practice location

6160 Arlington Ave
Suite D4
Riverside, CA 92504-1900

Mailing address

6160 Arlington Ave
Suite D4
Riverside, CA 92504-1900
Phone (951) 637-0013

Other names 1

  • Arlington Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1750354098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 ARLINGTON AVE",
            "address_2": "SUITE D4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041900",
            "telephone_number": "951-637-0013",
            "fax_number": "951-637-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 ARLINGTON AVE",
            "address_2": "SUITE D4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041900",
            "telephone_number": "951-637-0013",
            "fax_number": "951-637-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS DER BOGHOSSIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "DER BOGHOSSIAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "951-637-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.