Individual provider Active NPI

Vahe Nakashyan, D.D.S., M.D.S.

  • Periodontics
  • Burbank, CA
National Provider Identifier
1871925040
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS100680 Issued in CA
Practice address
3808 W Riverside Dr
Suite 204
Burbank, CA 91505-4325
Phone
(818) 842-6162
Fax
(818) 842-2052
NPI assigned
Jul 30, 2013
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DDS100680 CA Primary

Addresses

Primary practice location

3808 W Riverside Dr
Suite 204
Burbank, CA 91505-4325

Mailing address

3808 W Riverside Dr
Suite 204
Burbank, CA 91505-4325
Phone (818) 842-6162

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161229001701 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0648551812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS100680CAMDPeriodontist
100680CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nakashyan and Waki Dental Corporation Current Accepting new patients

Locations

3808 W Riverside Dr
Ste 204
Burbank, CA 91505
Phone (818) 842-6162

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1871925040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR",
            "address_2": "SUITE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "818-842-6162",
            "fax_number": "818-842-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR",
            "address_2": "SUITE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "818-842-6162",
            "fax_number": "818-842-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASHYAN",
        "first_name": "VAHE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS100680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.