Individual provider Active NPI

Hayk Hayrapetian, DDS

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1770819260
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42323 Issued in CA
Practice address
815 E Colorado St Ste 240
Glendale, CA 91205-4509
Phone
(818) 265-0500
Fax
(818) 265-0588
NPI assigned
Oct 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42323 CA Primary

Addresses

Primary practice location

815 E Colorado St Ste 240
Glendale, CA 91205-4509

Mailing address

815 E Colorado St Ste 240
Glendale, CA 91205-4509
Phone (818) 265-0500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160502002460 CA Order and Referring Only - DentistPractitioner - Dentist 4688973316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42323CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayrapetian Dental Corp Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1770819260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054509",
            "telephone_number": "818-265-0500",
            "fax_number": "818-265-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054509",
            "telephone_number": "818-265-0500",
            "fax_number": "818-265-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYRAPETIAN",
        "first_name": "HAYK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.