Tatiana Mikaelian DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

53716 Issued in CA

Legal business name

TATIANA MIKAELIAN DDS INC

Practice address

1209 N. Central Ave
#203
Glendale, CA 91202

Phone

(213) 840-3229

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tatiana Mikaelian, DDSNPI 1801929393

Title

President

Phone

(213) 840-3229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatiana Mikaelian, DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1801929393
  NPD (past) Authorized official

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1760635619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 DONNA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352508",
            "telephone_number": "213-840-3229",
            "fax_number": "818-705-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N. CENTRAL AVE",
            "address_2": "#203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "213-840-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA MIKAELIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "MIKAELIAN",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-840-3229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G94151-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Tashdjian, DMD
• George Kevork Tashjian, M.D.
• Raffi Tashjian, M.D.
• Siranoush Tashjian, R.N.
• David Ami Tashman, M.D.
• Erik Tatulbekyan
• Markesha Tatum
• Taubenfeld Psychological Services
• Wayne A. Taubenfeld, PH.D.
• Tavakalyan Podiatry PC

• 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 23, 2008; 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.