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1790505907 NPI number — EMPOWER DENTAL RANCHO-ARKELAKYAN DENTAL GROUP, INC

NPI Number: 1790505907
Health Care Provider/Practitioner: EMPOWER DENTAL RANCHO-ARKELAKYAN DENTAL GROUP, INC

Information about “1790505907” NPI (EMPOWER DENTAL RANCHO-ARKELAKYAN DENTAL GROUP, INC) exists in 1790505907 in HTML format HTML  |  1790505907 in plain Text format TXT  |  1790505907 in PDF (Portable Document Format) PDF  |  1790505907 in an XML format XML  formats.

NPI Number : 1790505907 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790505907",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ARKELAKYAN GYOKCHYAN & KHACHATRYAN DENTAL INC",
    "ParentOrgTIN": null,
    "OrgName": "EMPOWER DENTAL RANCHO-ARKELAKYAN DENTAL GROUP, INC",
    "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": "1209 N HOLLYWOOD WAY UNIT 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURBANK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91505-2149",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-601-8550",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9275 BASE LINE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO CUCAMONGA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91730-1203",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-490-5576",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2024",
    "LastUpdateDate": "01/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KHACHATRYAN",
    "AuthorizedOfficialFirstName": "KAREN",
    "AuthorizedOfficialMiddleName": "KEVIN",
    "AuthorizedOfficialTitle": "SECRETART",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "818-601-8550",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "125K00000X",
        "TaxonomyName": "Advanced Practice Dental Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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