Armand Keuroghlian, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

100217 Issued in CA

Practice address

1044 Trafalger Dr
Glendale, CA 91207-1140

Phone

(818) 919-4716

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Elena Shabani DDS Inc

  • General Practice Dentistry
  • La Crescenta, CA
  • NPI 1972071389
  Medicare reassignment NPD

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1891182507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 TRAFALGER DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 TRAFALGER DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071140",
            "telephone_number": "818-919-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUROGHLIAN",
        "first_name": "ARMAND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "100217",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "100217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly Keshishyan
• Samvel Keshishyan, DPM
• Sarkis Keshishyan, D.D.S.
• Vardush Keshishyan, M.A.
• Heghine Gina Kestenian
• Kevin G. Galstyan M.D., Inc
• Kevin J Pelton MD Inc (Los Angeles Orthopaedic Surgery Specialists)
• Kevin Kang DDS Ms Inc
• Gary K. Kevorkian, D.D.S., M.S.
• Nicole Keyllian

• Oral & Maxillofacial Surgery (D.M.D.) in Glendale, CA
• Providers in Glendale, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.