Eduard Doumanian, DDS

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

DDS106453 Issued in CA

Practice address

756 Coronado St
Redding, CA 96003-3535

Phone

(515) 724-1652

NPI assigned

Jun 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Doumanian Dental Corporation

  • Oral and Maxillofacial Radiology Dentistry
  • Redding, CA
  • NPI 1194690156
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1841032679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 CORONADO ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 CORONADO ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033535",
            "telephone_number": "515-724-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMANIAN",
        "first_name": "EDUARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "MA",
            "license": "DN1859079",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NY",
            "license": "062459",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "CA",
            "license": "DDS106453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindi Dorn
• Dorothy Brooks R.N. FNP Inc.
• Chantry A. Dorrell, LCSW
• John Andrew Dorsett, M.D.
• Doumanian Dental Corporation
• Patricia Elise Dowless
• Kevin Downey
• Karen Doyle, NP
• Mark Thomas Doyle, D.D.S.
• Dr Andrek Apd Ingersoll Dental Corporation (Shasta Kids Dentistry)

• Dentist in Redding, CA
• Providers in Redding, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.