Organization Active NPI

Gary Demerjian DDS Inc

  • Dentist
  • Burbank, CA
National Provider Identifier
1750457628
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38514 Issued in CA
Legal business name
GARY DEMERJIAN DDS INC
Practice address
2701 W Alameda Ave
Suite 606
Burbank, CA 91505-4402
Phone
(818) 238-9865
Fax
(818) 238-9012
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Flora Demerjian
Title
Practice Administrator
Phone
(818) 238-9865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38514 CA Primary

Addresses

Primary practice location

2701 W Alameda Ave
Suite 606
Burbank, CA 91505-4402

Mailing address

2701 W Alameda Ave
Suite 606
Burbank, CA 91505-4402
Phone (818) 238-9865

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1750457628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE",
            "address_2": "SUITE 606",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054402",
            "telephone_number": "818-238-9865",
            "fax_number": "818-238-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE",
            "address_2": "SUITE 606",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054402",
            "telephone_number": "818-238-9865",
            "fax_number": "818-238-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY DEMERJIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "DEMERJIAN",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-238-9865"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.