Individual provider Active NPI

Joseph Adamian

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1912008889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46161 Issued in CA
Practice address
206 N Jackson St
Suite 302
Glendale, CA 91206-4330
Phone
(818) 500-1735
Fax
(818) 500-0434
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46161 CA Primary

Addresses

Primary practice location

206 N Jackson St
Suite 302
Glendale, CA 91206-4330

Mailing address

206 N Jackson St
Suite 302
Glendale, CA 91206-4330
Phone (818) 500-1735

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

State licenses

LicenseStateTypeSpecialty
46161CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Adamian Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912008889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N JACKSON ST",
            "address_2": "SUITE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064330",
            "telephone_number": "818-500-1735",
            "fax_number": "818-500-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N JACKSON ST",
            "address_2": "SUITE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064330",
            "telephone_number": "818-500-1735",
            "fax_number": "818-500-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMIAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.