Ghazar Mikhail Ghazaryan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

49322 Issued in CA

Practice address

13746 Victory Blvd
Suite 113
Van Nuys, CA 91401-6716

Phone

(818) 780-8400

Fax

(818) 780-2275

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Ghazar M. Ghazaryan D.D.S.,Inc

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1538288667
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1841325164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 ALLEN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD",
            "address_2": "SUITE 113",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016716",
            "telephone_number": "818-780-8400",
            "fax_number": "818-780-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARYAN",
        "first_name": "GHAZAR",
        "middle_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Gharib
• Ghazar M. Ghazaryan D.D.S.,Inc
• Arin Ghazarian, PMHNP
• Ani Ghazaryan
• Ara Ghazaryan
• Adreshpreet Singh Ghotra, PT, DPT
• Andrea L Gialanella, LCSW
• Gloria Giammarco
• Eric Giancoli
• Calloni Gibbs

• Dentist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.