Active NPI
Garabed G. Demerjian Dental Corporation
- Dentist
- Glendora, CA
National Provider Identifier
1891869996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38514
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.