Yeghisheh Mirzoyan D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63761 Issued in CA

Legal business name

YEGHISHEH MIRZOYAN D.D.S., INC.

Practice address

14435 Sherman Way Ste 110
Van Nuys, CA 91405-6229

Phone

(818) 927-3113

Fax

(818) 547-5510

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Yeghisheh Mirzoyan, D.D.S.

Title

Dentist

Phone

(818) 419-0047

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grigor Greg Sarafian, DMD

  • Dentist
  • Van Nuys, CA
  • NPI 1396318549
  NPD
• Marwan Jamil

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1629435649
  NPD (past)

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992179006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 GREENBUSH AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011839",
            "telephone_number": "818-403-7655",
            "fax_number": "818-547-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY STE 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056229",
            "telephone_number": "818-927-3113",
            "fax_number": "818-547-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEGHISHEH MIRZOYAN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "YEGHISHEH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-419-0047",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63761",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "44534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497156038",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184771818",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Yared
• Carlyn Yarosh, OD
• Neil Yasuda, PA
• Jenny Yat
• Anahit Yedigaryan
• Nvard N Yeghoyan
• Aykaz Yegoyan
• Yellow Tulips Home Health Inc.
• Yemi Oguntolu
• Susan Georgetta Yepremyan

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 21, 2022; 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.