Organization Active NPI

Altina Karimyan DDS a Dental Corporation

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1972863413
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54269 Issued in CA
Legal business name
ALTINA KARIMYAN DDS A DENTAL CORPORATION
Practice address
800 Fairmount Ave
#100
Pasadena, CA 91105-3150
Phone
(626) 304-3004
Fax
(626) 304-3005
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Dr. Altina Karimyan, DDS
Title
President
Phone
(626) 304-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54269 CA Primary

Addresses

Primary practice location

800 Fairmount Ave
#100
Pasadena, CA 91105-3150

Mailing address

800 Fairmount Ave
#100
Pasadena, CA 91105-3150
Phone (626) 304-3004

National Provider Directory

National Provider Directory

Locations

800 Fairmount Ave
Ste 100
Pasadena, CA 91105
Phone (626) 304-3004

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1972863413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "#100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-304-3004",
            "fax_number": "626-304-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "#100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-304-3004",
            "fax_number": "626-304-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTINA KARIMYAN DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "KARIMYAN",
        "authorized_official_first_name": "ALTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-304-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 14, 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.