Susanna Avagyan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110406 Issued in CA

Practice address

12640 Whittier Blvd
Whittier, CA 90602-2926

Phone

(562) 698-1314

NPI assigned

Sep 16, 2024

Last updated

Jun 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susanna Avagyan DDS Inc.

  dba Sky Dental

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1629914072
  NPD Authorized official
• Elie Dental Corporation

  dba Empire Dental Group

  • Periodontics
  • Burbank, CA
  • NPI 1740389972
  NPD (past)
• Oktanyan Dental Corporation

  dba La Canada Smiles Dentistry Dental Group

  • General Practice Dentistry
  • La Canada Flintridge, CA
  • NPI 1689015661
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1912734955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12733 ARCHWOOD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061213",
            "telephone_number": "323-829-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022926",
            "telephone_number": "562-698-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 N Victory Pl",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021645",
            "country_code": "US",
            "telephone_number": "818-565-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVAGYAN",
        "first_name": "SUSANNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Catherine Avena
• Jessica Avendano
• Vanessa Avila
• Cristina Vanessa Aviles, LMFT

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.