Organization Active NPI

Edward Adourian, DDS, Inc.

  • Preferred Provider Organization
  • Vista, CA
National Provider Identifier
1912370552
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
56583 Issued in CA
Legal business name
EDWARD ADOURIAN, DDS, INC.
Practice address
1000 E Vista Way
Vista, CA 92084-4602
Phone
(760) 940-4266
Fax
(760) 940-6124
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Edward A Adourian, DDS
Title
Owner
Phone
(760) 940-4266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 56583 CA Primary

Addresses

Primary practice location

1000 E Vista Way
Vista, CA 92084-4602

Mailing address

1000 E Vista Way
Vista, CA 92084-4602
Phone (760) 940-4266

Other names 1

  • North County Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1000 E Vista Way
Vista, CA 92084
Phone (760) 940-4266

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1912370552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844602",
            "telephone_number": "760-940-4266",
            "fax_number": "760-940-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844602",
            "telephone_number": "760-940-4266",
            "fax_number": "760-940-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD ADOURIAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ADOURIAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-940-4266",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "56583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.