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

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.

Title

President

Phone

(818) 210-1010

Specialties & licenses 1

Addresses

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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• All providers in Valley Village, CA
• 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.