Tatiana Mikaelian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53716 Issued in CA

Practice address

1209 N Central Ave Apt 203
Glendale, CA 91202-3180

Phone

(213) 840-3229

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Tatiana L Lerner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tatiana Mikaelian DDS Inc

  • Dentist
  • Glendale, CA
  • NPI 1760635619
  NPD (past) Authorized official
• Friendly Dental Care

  • Dentist
  • Temple City, CA
  • NPI 1942435953
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1801929393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 LOWER AZUSA RD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803470",
            "telephone_number": "626-444-3744",
            "fax_number": "626-444-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N CENTRAL AVE APT 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023180",
            "telephone_number": "213-840-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKAELIAN",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G94151-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "LERNER",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Siranush Miduryan, PHARMD
• John J. Mielke, O.D.
• Spencer Miguel-Strah
• Mardiros H Mihranian, M.D.
• Alexa D Mikaelian
• Leena Mikailian
• Melineh Mikalian, D.M.D.
• Mikayel Grigoryan MD Inc
• Margarita Mikayelyan
• Misak Mikayelyan, DDS

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.