Hamlet Khachatryan DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HAMLET KHACHATRYAN DDS, INC.

Practice address

1698 Cruickshank Drive
Suite B
El Centro, CA 92243

Phone

(760) 970-8754

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Hamlet Khachatryan, DDSNPI 1720572787

Title

Owner/President

Phone

(818) 300-5849

Specialties & licenses 2

Addresses

Other names 1

• Imperial Dental Specialties Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamlet Khachatryan, DDS

  • Dentist
  • El Centro, CA
  • NPI 1720572787
  NPD (past) Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1851948061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 ROSITA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042821",
            "telephone_number": "818-300-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 CRUICKSHANK DRIVE",
            "address_2": "SUITE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-970-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLET KHACHATRYAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-300-5849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Dental Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tommy Brian Guzman
• Seung S. Gwon, M.D.
• H M E Medical Group
• Dong Bum Ha, RPH
• John Ruzick Hadorn, MD
• Hanger Prosthetics & Orthotics West
• Hanger Prosthetics & Orthotics West Inc
• Hanger Prosthetics & Orthotics West, Inc.
• Melissa Haro
• Faith Daisy Harrison, PHARMD

• Dental Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.