Organization Active NPI

Baghdasarian and Ross Dental Corporation

Doing business as Genesis Dental Esthetics

  • Dental Clinic/Center
  • Pasadena, CA
National Provider Identifier
1952944639
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAGHDASARIAN AND ROSS DENTAL CORPORATION
Doing business as
Genesis Dental Esthetics
Practice address
200 S El Molino Ave Ste 2
Pasadena, CA 91101-2985
Phone
(626) 314-3550
Fax
(626) 314-3552
NPI assigned
Oct 24, 2019
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Teodik Baghdasarian, DDSNPI 1609002047
Title
President
Phone
(818) 624-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

200 S El Molino Ave Ste 2
Pasadena, CA 91101-2985

Mailing address

200 S El Molino Ave Ste 2
Pasadena, CA 91101-2985
Phone (626) 314-3550

Other names 1

  • Genesis Dental Esthetics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1952944639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S EL MOLINO AVE STE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012985",
            "telephone_number": "626-314-3550",
            "fax_number": "626-314-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S EL MOLINO AVE STE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012985",
            "telephone_number": "626-314-3550",
            "fax_number": "626-314-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGHDASARIAN AND ROSS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARIAN",
        "authorized_official_first_name": "TEODIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-624-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Dental Esthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Dental Esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.