Organization Active NPI

Njdeh Ghazaryan Professional Dental Corp

Doing business as ABC Kids Dental Group

  • General Practice Dentistry
  • Reseda, CA
National Provider Identifier
1871165258
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NJDEH GHAZARYAN PROFESSIONAL DENTAL CORP
Doing business as
ABC Kids Dental Group
Practice address
18235 Sherman Way
Reseda, CA 91335-4551
Phone
(818) 970-5070
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Njdeh Nick Ghazaryan, DDSNPI 1851453427
Title
President
Phone
(818) 970-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

18235 Sherman Way
Reseda, CA 91335-4551

Mailing address

18235 Sherman Way
Reseda, CA 91335-4551
Phone (818) 970-5070

Other names 1

  • ABC Kids Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

18235 Sherman Way
Reseda, CA 91335
Phone (818) 401-6777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1871165258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18235 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354551",
            "telephone_number": "818-970-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18235 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354551",
            "telephone_number": "818-970-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJDEH GHAZARYAN PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "NJDEH",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-970-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Kids Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.