Organization Active NPI

Garabedian Dental Group Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, CA
National Provider Identifier
1770107252
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GARABEDIAN DENTAL GROUP INC
Practice address
1055 Ruberta Ave Apt 1
Glendale, CA 91201-2195
Phone
(949) 317-3197
Fax
(949) 317-3197
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Raffie Garabedian, DDSNPI 1841710316
Title
DDS/Owner
Phone
(949) 317-3197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1055 Ruberta Ave Apt 1
Glendale, CA 91201-2195

Mailing address

1055 Ruberta Ave Apt 1
Glendale, CA 91201-2195
Phone (949) 317-3197

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.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1770107252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RUBERTA AVE APT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012195",
            "telephone_number": "949-317-3197",
            "fax_number": "949-317-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RUBERTA AVE APT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012195",
            "telephone_number": "949-317-3197",
            "fax_number": "949-317-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARABEDIAN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "GARABEDIAN",
        "authorized_official_first_name": "RAFFIE",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "949-317-3197",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.