Spartak Delakyan D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

61368 Issued in CA

Legal business name

SPARTAK DELAKYAN D.D.S., INC.

Practice address

2332 W Whittier Blvd
Montebello, CA 90640-3039

Phone

(323) 728-3292

Fax

(323) 728-6329

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Spartak Delakyan, D.D.S

Title

Dentist/Owner

Phone

(818) 523-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenwood Dental Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1922418599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 1/2 S GREENWOOD AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906406329",
            "telephone_number": "323-728-3292",
            "fax_number": "323-728-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403039",
            "telephone_number": "323-728-3292",
            "fax_number": "323-728-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAK DELAKYAN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "DELAKYAN",
        "authorized_official_first_name": "SPARTAK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-523-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1922418599",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Montebello",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Montebello",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Montebello",
            "address_1": "2332 W Whittier Blvd",
            "city": "Montebello",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906403039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greenwood Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.