Elmira Latshikyan Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELMIRA LATSHIKYAN DENTAL CORPORATION

Practice address

130 S Main St Ste a-D
Orange, CA 92868-2869

Phone

(657) 218-5865

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Elmira Latshikyan

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tania Jaramillo, DDS

  • General Practice Dentistry
  • Orange, CA
  • NPI 1063374643
  NPD
• Tracy Nguyen

  • Dentist
  • Orange, CA
  • NPI 1801763644
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1891532248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE A-D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682869",
            "telephone_number": "657-218-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMIRA LATSHIKYAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "LATSHIKYAN",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Ellis
• Mark H. Ellis, M.D.
• Samantha Jo Ellis
• Alanni Ellsberry
• Elizabeth Elm, BA
• Victoria Monique Elmquist
• Yvette Alfelor Elpidio, PMHNP-BC
• Emad Elquza, M.D.
• Tarek Gamal Elseisi
• Yomna Elsiddig

• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.