Alenoush Baghdasaryan,D.D.S., a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37783 Issued in CA

Legal business name

ALENOUSH BAGHDASARYAN,D.D.S., A PROFESSIONAL DENTAL CORPORATION

Practice address

457 Palm Dr Ste 100
Glendale, CA 91202-3221

Phone

(818) 956-3733

NPI assigned

Jul 3, 2007

Last updated

Dec 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alenoush BaghdasaryanNPI 1245374933

Title

President

Phone

(818) 956-3733

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Alenoush Baghdasaryan, DDS

  • Dentist
  • Glendale, CA
  • NPI 1245374933
  NPD Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1962600742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 PALM DR STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 PALM DR STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023221",
            "telephone_number": "818-956-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALENOUSH BAGHDASARYAN,D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "ALENOUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-956-3733"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.