Edwin Babadjanian DDS Apc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

EDWIN BABADJANIAN DDS APC

Practice address

1101 N Pacific Ave Ste 206
Glendale, CA 91202-4367

Phone

(818) 548-5544

Fax

(888) 374-8024

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Edwin Babadjanian, DDSNPI 1629282611

Title

Owner

Phone

(818) 468-5186

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin Babadjanian

  • Endodontics
  • Glendale, CA
  • NPI 1629282611
  Authorized official Same address or phone
• Deeann Nason, DC

  • Chiropractor
  • Glendale, CA
  • NPI 1194924167
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1801459516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024367",
            "telephone_number": "818-548-5544",
            "fax_number": "888-374-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024367",
            "telephone_number": "818-548-5544",
            "fax_number": "888-374-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN BABADJANIAN DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "BABADJANIAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-468-5186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA",
            "identifier": "DDS59108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathy Garcia Egan, MSW
• Egeia Home Health, Inc.
• Erika Eggers, , M.S., CCC-SLP

• Endodontics in Glendale, CA
• Providers in Glendale, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.