Organization Active NPI

Alexandre HK Tavitian DDS, Inc.

  • Dental Clinic/Center
  • Burbank, CA
National Provider Identifier
1790942472
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
40891 Issued in CA
Legal business name
ALEXANDRE HK TAVITIAN DDS, INC.
Practice address
2625 W Alameda Ave
420
Burbank, CA 91505-4806
Phone
(818) 955-7788
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Alexandre HK Tavitian, DDSNPI 1407050602
Title
President
Phone
(818) 955-7788

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 40891 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave
420
Burbank, CA 91505-4806

Mailing address

PO Box 2448
Toluca Lake, CA 91610-0448
Phone (818) 955-7788

National Provider Directory

National Provider Directory

Locations

2625 W Alameda Ave
Ste 420
Burbank, CA 91505
Phone (818) 955-7788

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1790942472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2448",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916100448",
            "telephone_number": "818-955-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "420",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-955-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRE HK TAVITIAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "TAVITIAN",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_middle_name": "HK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-955-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.