Organization Active NPI

Garabed G. Demerjian Dental Corporation

  • Dentist
  • Glendora, CA
National Provider Identifier
1891869996
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38514 Issued in CA
Legal business name
GARABED G. DEMERJIAN DENTAL CORPORATION
Practice address
175 N Pennsylvania Ave Ste 4
Glendora, CA 91741-3316
Phone
(626) 963-6035
Fax
(626) 963-3316
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Flora Demerjian
Title
Practice Administrator
Phone
(626) 963-6035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38514 CA Primary

Addresses

Primary practice location

175 N Pennsylvania Ave Ste 4
Glendora, CA 91741-3316

Mailing address

175 N Pennsylvania Ave Ste 4
Glendora, CA 91741-3316
Phone (626) 963-6035

Other names 1

  • G.G. Demerjian Dental Corporation Other name

National Provider Directory

National Provider Directory

Locations

175 N Pennsylvania Ave
Ste 4
Glendora, CA 91741
Phone (626) 852-1865

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1891869996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N PENNSYLVANIA AVE STE 4",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413316",
            "telephone_number": "626-963-6035",
            "fax_number": "626-963-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N PENNSYLVANIA AVE STE 4",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413316",
            "telephone_number": "626-963-6035",
            "fax_number": "626-963-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARABED G. DEMERJIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DEMERJIAN",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "626-963-6035"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.G. Demerjian Dental Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.