Organization Active NPI

Armen Joseph Pezeshkian DDS Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glendale, CA
National Provider Identifier
1942068200
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ARMEN JOSEPH PEZESHKIAN DDS INC
Practice address
1016 E Broadway Ste 104
Glendale, CA 91205-4534
Phone
(818) 409-0999
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Armen Joseph Pezeshkian, DDSNPI 1952841900
Title
Surgeon
Phone
(818) 644-0542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

1016 E Broadway Ste 104
Glendale, CA 91205-4534

Mailing address

1016 E Broadway Ste 104
Glendale, CA 91205-4534
Phone (818) 409-0999

Other names 1

  • Armen Joseph Pezeshkian DDS Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1016 E Broadway
Ste 104
Glendale, CA 91205
Phone (818) 259-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1942068200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054534",
            "telephone_number": "818-409-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054534",
            "telephone_number": "818-409-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMEN JOSEPH PEZESHKIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "PEZESHKIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "818-644-0542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Armen Joseph Pezeshkian DDS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.