Organization Active NPI

Garabedian and Kotikian Dental Corporation

  • Dental Clinic/Center
  • Glendale, CA
National Provider Identifier
1841577517
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49568 Issued in CA
Legal business name
GARABEDIAN AND KOTIKIAN DENTAL CORPORATION
Practice address
242 N Glendale Ave
Glendale, CA 91206-4454
Phone
(818) 409-0925
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Dr. Armond Kotikian, D.D.S., M.D.NPI 1396868774
Title
Ceo
Phone
(818) 409-0925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49568 CA Primary
Dental Clinic/Center 261QD0000X A95221 CA

Addresses

Primary practice location

242 N Glendale Ave
Glendale, CA 91206-4454

Mailing address

242 N Glendale Ave
Glendale, CA 91206-4454
Phone (818) 409-0925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121108000015 CA Part B Supplier - Clinic/Group Practice 3577714195 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

242 N Glendale Ave
Glendale, CA 91206
Phone (818) 409-0925

Practitioners & affiliated clinicians

Practitioners 2

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1841577517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064454",
            "telephone_number": "818-409-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064454",
            "telephone_number": "818-409-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARABEDIAN AND KOTIKIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "KOTIKIAN",
        "authorized_official_first_name": "ARMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-409-0925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49568",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "A95221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.