Individual provider Active NPI

Derik Alexanians, D.D.S

  • General Practice Dentistry
  • Arleta, CA
National Provider Identifier
1992887590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51319 Issued in CA
Practice address
8940 Woodman Ave Ste B
Arleta, CA 91331-8027
Phone
(818) 892-9600
Fax
(818) 892-2209
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51319 CA Primary

Addresses

Primary practice location

8940 Woodman Ave Ste B
Arleta, CA 91331-8027

Mailing address

260 Kempton Rd
Glendale, CA 91202-1320
Phone (818) 892-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992887590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 KEMPTON RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021320",
            "telephone_number": "818-892-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 WOODMAN AVE STE B",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913318027",
            "telephone_number": "818-892-9600",
            "fax_number": "818-892-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANIANS",
        "first_name": "DERIK",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.