Minasyan Dental, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

53088 Issued in CA

Legal business name

MINASYAN DENTAL, INC

Practice address

5953 Laurel Canyon Blvd
Unit B
Valley Village, CA 91607-5224

Phone

(818) 210-1010

NPI assigned

Jul 1, 2016

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kharen Minasyan, D.D.S.NPI 1447346762

Title

President

Phone

(818) 210-1010

Specialties & licenses 1

Addresses

Locations

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.

• Kharen Minasyan, DDS

  • Dentist
  • Valley Village, CA
  • NPI 1447346762
  Authorized official Same address or phone

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1831541846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD",
            "address_2": "UNIT B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916075224",
            "telephone_number": "818-210-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD",
            "address_2": "UNIT B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916075224",
            "telephone_number": "818-210-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINASYAN DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "KHAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-210-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kharen Minasyan, DDS
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• Michael Modresky, LMFT

• Dentist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.