Active NPI
Ishkhan John Bayrakdarian, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
National Provider Identifier
1891719217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 50037
- Practice address
- 1616 W Shaw Ave Ste A6
Fresno, CA 93711 - Phone
- (559) 222-2522
- Fax
- (559) 222-3022
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 50037 | CA | Primary |
Addresses
Primary practice location
1616 W Shaw Ave Ste A6
Fresno, CA 93711
Mailing address
1616 W Shaw Ave Ste A6
Fresno, CA 93711-3513
Phone (559) 222-2522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203643578 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I.J. Bayrakdarian D.M.D. a Professional Corporation | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Bayrakdarian Madera, D.M.D., Inc., a Professional Dental Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| I J Bayrakdarian DMD a Professional Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Bayrakdarian Visalia DMD Inc a California Professional Dental Office C | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Bayrakdarian Merced, D.M.D., Inc., a Professional Dental Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Bayrakdarian Hanford DMD Inc a California Professional Dental Office C | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Bayrakdarian Cedar, D.M.D., Inc., a Professional Dental Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| I J Bayrakdarian DMD a Professional Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
1616 W Shaw Ave
Ste A6
Fresno, CA 93711
Phone (559) 222-2522
Organizations & group practices 8
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
- NPI 1518140656
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
- NPI 1033964333
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hanford, CA
- NPI 1912505009
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Madera, CA
- NPI 1861924359
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Merced, CA
- NPI 1265200356
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Visalia, CA
- NPI 1538761838
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hanford, CA
- NPI 1093367054
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Visalia, CA
- NPI 1538725312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1891719217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W SHAW AVE STE A6",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113513",
"telephone_number": "559-222-2522",
"fax_number": "559-222-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W SHAW AVE STE A6",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-222-2522",
"fax_number": "559-222-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYRAKDARIAN",
"first_name": "ISHKHAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "50037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203643578",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Kyle Baxter, DPT
- Bay Area Surgical Specialists Inc a Medical Corporation
- Roya Bayat-Makoui, LPCC
- Marie Baybay
- Bayrakdarian Cedar, D.M.D., Inc., a Professional Dental Corporation
- Baysal Orthopedic Institute Incorporated
- Baz Allergy, Asthma & Sinus Center, Inc.
- Baz Allergy, Asthma & Sinus Center, Inc.
- Baz Allergy, Asthma & Sinus Center, Inc.
- Malik Nasir Baz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.