Individual provider Active NPI

Jilbert Bakramian, DDS

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1942717343
Registry record updated Jan 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102233 Issued in CA
Practice address
19523 E Cypress St
Covina, CA 91724-2066
Phone
(626) 331-4538
NPI assigned
Jan 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 102233 CA Primary

Addresses

Primary practice location

19523 E Cypress St
Covina, CA 91724-2066

Mailing address

634 E Maple St Apt 4
Glendale, CA 91205-4104
Phone (818) 378-1511

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102233CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Dental Office of Jilbert Bakramian Inc Current Accepting new patients
New Millennium Dental Group of Aram Arakelyan General Practice PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515283200000",
    "number": "1942717343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 E MAPLE ST APT 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054104",
            "telephone_number": "818-378-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19523 E CYPRESS ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242066",
            "telephone_number": "626-331-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKRAMIAN",
        "first_name": "JILBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.