Organization Active NPI

Harout V Gostanian DDS, MSD, PC

Doing business as Galleria Pediatric Dentistry

  • Pediatric Dentistry
  • Henderson, NV
National Provider Identifier
1912118878
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
NV20071588351 Issued in NV
Legal business name
HAROUT V GOSTANIAN DDS, MSD, PC
Doing business as
Galleria Pediatric Dentistry
Practice address
731 Mall Ring Cir
Henderson, NV 89014-6683
Phone
(702) 734-5333
Fax
(702) 990-0304
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Harout V Gostanian, DDS, MSD
Title
Owner
Phone
(702) 734-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X NV20071588351 NV Primary

Addresses

Primary practice location

731 Mall Ring Cir
Henderson, NV 89014-6683

Mailing address

731 Mall Ring Cir
Henderson, NV 89014-6683
Phone (702) 734-5333

Other names 1

  • Galleria Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

731 Mall Ring Cir
Henderson, NV 89014
Phone (702) 300-6818

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1912118878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 MALL RING CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146683",
            "telephone_number": "702-734-5333",
            "fax_number": "702-990-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MALL RING CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146683",
            "telephone_number": "702-734-5333",
            "fax_number": "702-990-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROUT V GOSTANIAN DDS, MSD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GOSTANIAN",
        "authorized_official_first_name": "HAROUT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-734-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "NV20071588351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galleria Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.