NPIMap

Organization Active NPI

Kazarian, Khachatryan, Azatyan, a Professional Dental Corporation

Doing business as Aten Dental Group

  • Dental Clinic/Center
  • Imperial, CA
National Provider Identifier
1811627763
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KAZARIAN, KHACHATRYAN, AZATYAN, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Aten Dental Group
Practice address
508 W Aten Rd
Imperial, CA 92251-9718
Phone
(760) 355-4444
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Hamlet Khachatryan, DDS
Title
Owner
Phone
(818) 300-5849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

508 W Aten Rd
Imperial, CA 92251-9718

Mailing address

1698 Cruickshank Dr Ste B
El Centro, CA 92243-1462
Phone (818) 300-5849

Other names 1

  • Aten Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

508 W Aten Rd
Imperial, CA 92251
Phone (760) 355-4444

Practitioners & affiliated clinicians

Practitioners 3

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": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1811627763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 CRUICKSHANK DR STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431462",
            "telephone_number": "818-300-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W ATEN RD",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519718",
            "telephone_number": "760-355-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZARIAN, KHACHATRYAN, AZATYAN, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-300-5849",
        "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": "Aten Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Imperial, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.