Jil-Agopian Prof. Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

57082 Issued in CA

Legal business name

JIL-AGOPIAN PROF. DENTAL CORPORATION

Practice address

10727 White Oak Ave
#215
Granada Hills, CA 91344-4631

Phone

(818) 832-4331

Fax

(818) 832-4301

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ara Jil-Agopian, DDS, MS

Title

President

Phone

(818) 458-9628

Specialties & licenses 1

Addresses

Other names 1

• Agopian Dental Practice of Granada Hills, APC Former legal business name

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1801048129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 DORINA PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441417",
            "telephone_number": "818-458-9628",
            "fax_number": "818-832-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 WHITE OAK AVE",
            "address_2": "#215",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444631",
            "telephone_number": "818-832-4331",
            "fax_number": "818-832-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIL-AGOPIAN PROF. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "JIL-AGOPIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-458-9628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agopian Dental Practice of Granada Hills, APC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Janet Schrodi DMD, Inc.
• Evelyn Dianna Jankowski, MD
• Eduardo Benjamin Jaramillo
• Marcos Daniel Jasso, MA LEVEL
• Vanross Devera Javier, BSN, RN
• Ara Garabet Jil-Agopian, DDS, MS
• Humberto Jimenez
• Melisa Jimenez
• Vivian Jimenez
• Suhyun Jin, CCC-A

• Orthodontics and Dentofacial Orthopedics Dentistry in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.