Organization Active NPI

Vahan Grigoryan, DDS, Inc.

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1851546493
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49536 Issued in CA
Legal business name
VAHAN GRIGORYAN, DDS, INC.
Practice address
7993 Sierra Ave
Suite D
Fontana, CA 92336-3330
Phone
(909) 428-5111
Fax
(909) 428-5757
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Vahan Grigoryan, DDS
Title
Owner/Dentist
Phone
(909) 428-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 49536 CA Primary

Addresses

Primary practice location

7993 Sierra Ave
Suite D
Fontana, CA 92336-3330

Mailing address

7993 Sierra Ave
Suite D
Fontana, CA 92336-3330
Phone (909) 428-5111

National Provider Directory

National Provider Directory

Locations

7993 Sierra Ave
Ste D
Fontana, CA 92336
Phone (909) 428-5111

Practitioners & affiliated clinicians

Practitioners 1

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": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1851546493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7993 SIERRA AVE",
            "address_2": "SUITE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363330",
            "telephone_number": "909-428-5111",
            "fax_number": "909-428-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7993 SIERRA AVE",
            "address_2": "SUITE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363330",
            "telephone_number": "909-428-5111",
            "fax_number": "909-428-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAHAN GRIGORYAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-428-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.