Agadzhanov Aminov Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55889 Issued in CA

Legal business name

AGADZHANOV AMINOV DENTAL

Practice address

2200 W Olive Ave
Burbank, CA 91506-2626

Phone

(818) 846-2266

Fax

(818) 846-2539

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry G Aminov, D.M.D.

Title

Partner

Phone

(949) 935-4457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1790141356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062626",
            "telephone_number": "818-846-2266",
            "fax_number": "818-846-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062626",
            "telephone_number": "818-846-2266",
            "fax_number": "818-846-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGADZHANOV AMINOV DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-935-4457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.