Individual provider Active NPI

Sako Ohanesian, D.D.S., M.A.G.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Anaheim, CA
National Provider Identifier
1932548591
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DDS38213 Issued in CA
Practice address
145 S Chaparral CT
Suite # 201
Anaheim, CA 92808-2265
Phone
(714) 998-1646
Fax
(270) 675-9517
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38213 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DDS38213 CA Primary

Addresses

Primary practice location

145 S Chaparral CT
Suite # 201
Anaheim, CA 92808-2265

Mailing address

145 S Chaparral CT
Suite # 201
Anaheim, CA 92808-2265
Phone (714) 998-1646

Other identifiers 1

IdentifierTypeStateIssuer
1528150554OtherCANPI TYPE 2 CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS38213CAMDOral and Maxillofacial Surgery (Dentist)
38213CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1932548591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S CHAPARRAL CT",
            "address_2": "SUITE # 201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082265",
            "telephone_number": "714-998-1646",
            "fax_number": "270-675-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S CHAPARRAL CT",
            "address_2": "SUITE # 201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082265",
            "telephone_number": "714-998-1646",
            "fax_number": "270-675-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANESIAN",
        "first_name": "SAKO",
        "credential": "D.D.S.,  M.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38213",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS38213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  TYPE 2  CORPORATION",
            "identifier": "1528150554",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.