T Ghotanian DDS

Primary specialty

DentistTaxonomy code 122300000X

License

47079 Issued in CA

Legal business name

T GHOTANIAN DDS

Practice address

1370 Foothill Blvd # 102
La Canada, CA 91011-2150

Phone

(626) 792-0001

NPI assigned

Oct 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tina Ghotanian, DDS

Title

Owner

Phone

(626) 792-0001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1780012948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD # 102",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "626-792-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD # 102",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "626-792-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T GHOTANIAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "GHOTANIAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-792-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in La Canada, CA
• Providers in La Canada, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.