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1417567397 NPI number — KRIKOR BARDAKJIAN DDS INC ACPC

NPI Number: 1417567397
Health Care Provider/Practitioner: KRIKOR BARDAKJIAN DDS INC ACPC

Information about “1417567397” NPI (KRIKOR BARDAKJIAN DDS INC ACPC) exists in 1417567397 in HTML format HTML  |  1417567397 in plain Text format TXT  |  1417567397 in PDF (Portable Document Format) PDF  |  1417567397 in an XML format XML  formats.

NPI Number : 1417567397 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417567397",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KRIKOR BARDAKJIAN DDS INC ACPC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3808 W RIVERSIDE BLVD SUITE 307",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURBANK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91505-4339",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-861-7840",
    "MailingAddressFaxNumber": "818-861-7843",
    "FirstLinePracticeLocationAddress": "3808 W RIVERSIDE BLVD SUITE 307",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURBANK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91505-4339",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-861-7840",
    "PracticeLocationAddressFaxNumber": "818-861-7843",
    "EnumerationDate": "08/05/2020",
    "LastUpdateDate": "11/12/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARDAKJIAN",
    "AuthorizedOfficialFirstName": "KRIKOR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-636-8232",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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