NPIMap

Organization Active NPI

Khajadour Donabedian DDS Inc

  • Dental Clinic/Center
  • Pasadena, CA
National Provider Identifier
1801437520
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHAJADOUR DONABEDIAN DDS INC
Doing business as
FOOTHILL DENTAL GROUP
Practice address
2063 E Foothill Blvd
Pasadena, CA 91107-3277
Phone
(626) 449-1919
Fax
(626) 449-8775
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Khajadour Donabedian, DDSNPI 1841435062
Title
Dentist
Phone
(626) 449-1919

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 Primary

Addresses

Primary practice location

2063 E Foothill Blvd
Pasadena, CA 91107-3277

Mailing address

2063 E Foothill Blvd
Pasadena, CA 91107-3277
Phone (626) 449-1919

Other names 1

  • FOOTHILL DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

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": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1801437520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073277",
            "telephone_number": "626-449-1919",
            "fax_number": "626-449-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073277",
            "telephone_number": "626-449-1919",
            "fax_number": "626-449-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAJADOUR DONABEDIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "DONABEDIAN",
        "authorized_official_first_name": "KHAJADOUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-449-1919",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOTHILL DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.