Jacklyn Azarian, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

50033 Issued in CA

Practice address

1141 N Brand Blvd Ste 500
Glendale, CA 91202-3069

Phone

(818) 240-3700

NPI assigned

Nov 11, 2007

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jacklyn Khachadoorian Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Care Studios,Dental Office of Jacklyn Azarian DDS

  • Dentist
  • Glendale, CA
  • NPI 1013181262
  NPD (past) Authorized official
• Oganesyan Dental Corporation

  • Dentist
  • Glendale, CA
  • NPI 1407204522
  NPD (past)

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1942480603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD",
            "address_2": "STE 500",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023069",
            "telephone_number": "818-281-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 500",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023069",
            "telephone_number": "818-240-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZARIAN",
        "first_name": "JACKLYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKLYN",
            "last_name": "KHACHADOORIAN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saline Ayvazyan
• Yan Ayzin, DDS
• Ani Azarian
• Arlene Mariam Azarian, MSW,ASW, LCSW
• Eddie Azarian
• Socey Azarian
• Stella Azaryan
• Wageh Azer, M.D.
• Nia Carol Aziz-Hughes
• Azizeh Asgari, MD, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.