Armen Joseph Pezeshkian, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

101525 Issued in CA

Practice address

1016 E Broadway Ste 104
Glendale, CA 91205-4534

Phone

(818) 409-0999

NPI assigned

Feb 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Armen Joseph Pezeshkian DDS Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glendale, CA
  • NPI 1942068200

  Single Specialty

  NPD Authorized official
• Folsom Specialties Dental Group Inc

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1205646478
  NPD Authorized official
• Missagh Pezeshkian, D.D. S., a Professional Corporation

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1578062121

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1952841900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 OLD PHILLIPS RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071112",
            "telephone_number": "818-644-0542"
        },
        {
            "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": {
        "last_name": "PEZESHKIAN",
        "first_name": "ARMEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2023-11-29",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "101525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruzanna Petrosyan
• Sona Petrosyan
• Viktoriya Petrosyan, MSW
• Paul Lindsay Pettyjohn, OT
• Neda Petz
• Tracy Evalani Phal, PSY.D.
• Brianna Pham
• Thang Bao Pham, PA
• Phantom Home Health Inc.
• Pharmacy Home Infusion Network

• Oral & Maxillofacial Surgery (D.M.D.) in Glendale, CA
• Providers in Glendale, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.