Organization Active NPI

Smile to Life

  • Private Vehicle
  • Glendale, CA
National Provider Identifier
1801720057
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
SMILE TO LIFE
Practice address
641 W California Ave Apt D
Glendale, CA 91203-2874
Phone
(747) 474-2777
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Mger Khebiants
Title
Owner
Phone
(747) 474-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

641 W California Ave Apt D
Glendale, CA 91203-2874

Mailing address

641 W California Ave Apt D
Glendale, CA 91203-2874
Phone (747) 474-2777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1801720057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W CALIFORNIA AVE APT D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032874",
            "telephone_number": "747-474-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W CALIFORNIA AVE APT D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032874",
            "telephone_number": "747-474-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TO LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "KHEBIANTS",
        "authorized_official_first_name": "MGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-474-2777"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.