Active NPI
Roberto Der Boghosian DDS a Professional Dental Corporation
- General Practice Dentistry
- Cudahy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31245
- Legal business name
- ROBERTO DER BOGHOSIAN DDS A PROFESSIONAL DENTAL CORPORATION
- Practice address
- 7643 Atlantic Ave
Cudahy, CA 90201-5019 - Phone
- (323) 773-7707
- NPI assigned
- Jan 24, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Der Boghosian, DDS
- Title
- President
- Phone
- (323) 773-7707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31245 | CA | Primary |
Addresses
Primary practice location
7643 Atlantic Ave
Cudahy, CA 90201-5019
Mailing address
6812 Woodman Ave
Van Nuys, CA 91405-4208
Phone (818) 785-7400
National Provider Directory
National Provider Directory- Tax ID family
- Roberto Der Boghosian DDS a Professional Dental Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Van Nuys, CA
- NPI 1659435519
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Van Nuys, CA
- NPI 1093929945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811042203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6812 WOODMAN AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054208",
"telephone_number": "818-785-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7643 ATLANTIC AVE",
"city": "CUDAHY",
"state": "CA",
"postal_code": "902015019",
"telephone_number": "323-773-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO DER BOGHOSIAN DDS A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DER BOGHOSIAN",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-773-7707",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cudahy, CA
- Pradip D Patel DDS Inc
- Prohealth Partners a Medical Group (Clinica Santa Clara Medical Clinic)
- R Patel Dental Group Inc
- David Ramos, RN
- Jose Antonio Rivera, PAC
- Karla Romo
- Roshanak Haghshenas DDS Inc
- SGP Incorporated (Las Pharmacy and Medical Equipment)
- Sharareh Shabafrooz, D.O.
- Jamshid Shafai, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.