Krikor R Bardakjian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55869 Issued in CA

Practice address

3803 W Riverside Dr # 307
Burbank, CA 91505-4324

Phone

(818) 861-7840

Fax

(818) 861-7843

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saint Gabriel Hospice LLC

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
  • NPI 1518551969
  NPD Authorized official
• Boyajian & Bardakjian Dental Corp.

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1790957801
  NPD

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1992903553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-861-7840",
            "fax_number": "818-861-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 W RIVERSIDE DR # 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054324",
            "telephone_number": "818-861-7840",
            "fax_number": "818-861-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDAKJIAN",
        "first_name": "KRIKOR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Banna
• Dion Banoian, MD
• Jocelyn Ariana Barajas
• Celina Barba - Simic, M.D.
• Mabel Barboza
• Edder Bardowell
• Suzana Bareghamyan
• Hoyt W Barnebey Jr., MA, MFT
• Tarsa Barnes, LPCC
• Talin A Baronian

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, 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, 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.