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.

Doing business as

Greenwood Dental

Practice address

2332 W Whittier Blvd
Montebello, CA 90640-3039

Phone

(323) 728-3292

Fax

(323) 728-6329

NPI assigned

May 5, 2014

Last updated

Nov 10, 2020By the provider in NPPES

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.SNPI 1790046282

Title

Dentist/Owner

Phone

(818) 523-3005

Specialties & licenses 1

Addresses

Other names 1

• Greenwood Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spartak Delakyan, D.D.S.

  • Dentist
  • Van Nuys, CA
  • NPI 1790046282
  Authorized official Same address or phone

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": [],
    "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.