Tchaboukian Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56402 Issued in CA

Legal business name

TCHABOUKIAN DENTAL CORPORATION

Doing business as

Inland Dental Group

Practice address

1131 Foothill Blvd
La Verne, CA 91750-3328

Phone

(909) 596-6551

NPI assigned

Feb 16, 2017

Last updated

Jul 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John- Ohaness Tchaboukian, DDS

Title

Owner

Phone

(909) 596-6551

Specialties & licenses 1

Addresses

Other names 1

• Inland Dental Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ohannes Manuel Tchaboukian, DDS

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1134317027
  NPD

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1902345465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 RIVIERA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503328",
            "telephone_number": "909-596-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCHABOUKIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "TCHABOUKIAN",
        "authorized_official_first_name": "JOHN- OHANESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-596-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Tadros, DMD
• Steven A Takamatsu, D.D.S.
• Monica Tamayo, LMFT
• Elena Alina Tariceanu
• Tamara Giselle Tavira
• Telnet-RX Specialties Inc. (TelNet-Rx Pharmacy La Verne)
• Shaleta Thorbs
• Thrifty Payless Inc (Rite Aid Pharmacy 05595)
• Time 4 Me - Counseling & Consulting, Inc. (Time 4 Me - Counselng & Consulting)
• Tony Daher DDS Inc

• General Practice Dentistry in La Verne, CA
• Providers in La Verne, 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 11, 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.

Verify at the official NPI Registry.