NPIMap

Organization Active NPI

Alexandrian Dentistry Inc.

Doing business as Kool Dental And Braces of Montebello

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montebello, CA
National Provider Identifier
1942753595
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
49835 Issued in CA
Legal business name
ALEXANDRIAN DENTISTRY INC.
Doing business as
Kool Dental And Braces of Montebello
Practice address
235 E Beverly Blvd
Montebello, CA 90640-3776
Phone
(323) 721-4328
Fax
(323) 721-3043
NPI assigned
Aug 1, 2016
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Dr. Nareg Oliver Alexandrian, DDS
Title
Owner
Phone
(818) 640-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 49835 CA Primary

Addresses

Primary practice location

235 E Beverly Blvd
Montebello, CA 90640-3776

Mailing address

15643 Sherman Way
Suite 220
Van Nuys, CA 91406-4135
Phone (323) 721-4328

Other names 1

  • Kool Dental And Braces of Montebello Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexandrian Dentistry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1942753595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE 220",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "323-721-4328",
            "fax_number": "323-721-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403776",
            "telephone_number": "323-721-4328",
            "fax_number": "323-721-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIAN DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRIAN",
        "authorized_official_first_name": "NAREG",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-640-5889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "49835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kool Dental And Braces of Montebello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.