NPIMap

Organization Active NPI

Derhartounian Dental Corporation

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1922133578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41394 Issued in CA
Legal business name
DERHARTOUNIAN DENTAL CORPORATION
Doing business as
Pacific Dental Group
Practice address
6801 Lankershim Blvd Ste 101
North Hollywood, CA 91605-6112
Phone
(818) 764-0718
Fax
(818) 503-9285
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harmik Derhartounian, DDS
Title
President,Ceo
Phone
(818) 764-0718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41394 CA Primary

Addresses

Primary practice location

6801 Lankershim Blvd Ste 101
North Hollywood, CA 91605-6112

Mailing address

6801 Lankershim Blvd Ste 101
North Hollywood, CA 91605-6112
Phone (818) 764-0718

Other names 1

  • Pacific Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Derhartounian Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6801 Lankershim Blvd
Ste 101
North Hollywood, CA 91605
Phone (818) 764-0718

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922133578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LANKERSHIM BLVD STE 101",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056112",
            "telephone_number": "818-764-0718",
            "fax_number": "818-503-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LANKERSHIM BLVD STE 101",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056112",
            "telephone_number": "818-764-0718",
            "fax_number": "818-503-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERHARTOUNIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERHARTOUNIAN",
        "authorized_official_first_name": "HARMIK",
        "authorized_official_title_or_position": "PRESIDENT,CEO",
        "authorized_official_telephone_number": "818-764-0718",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.