JACK BAYRAYMYAN DENTAL GROUP INC. (NPI# 1538768791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538768791 |
Entity Type | Organization |
Organization Name | JACK BAYRAYMYAN DENTAL GROUP INC. |
Practice Address |
14422 Victory Blvd Van Nuys CA 91401-1439 |
Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
Practice Telephone | 7195761850 |
Mailing Telephone | 7195761850 |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-20 |
Authorized Official Name | SHAUN URBANOZO (CREDENTIALING MANAGER) |
Authorized Official Telephone | 7193232362 |
Is Organization Subpart | Y |
Parent Organization Name | JACK BAYRAMYAN DENTAL GROUP INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Other Name | Type Code |
---|---|
Teen Dental Place | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
1063011237 | Jack Bayraymyan Dental Group Inc. | Dentist | 4221 E Cesar E Chavez Ave, Los Angeles, CA 90063-3417 | 2020-10-20 |
Street Address |
14422 VICTORY BLVD |
City | VAN NUYS |
State | CA |
Zip Code | 91401-1439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740426162 | Bayramyan Dds Dental Corp. | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1480 | 2009-01-07 |
1255983433 | Payam Shaaf | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1439 | 2019-07-09 |
1629570874 | Katherine Elizabeth Schwartz | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1439 | 2018-03-04 |
1194255810 | Shant Aharonian | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1439 | 2017-06-14 |
1932503083 | Isabelle Kaldawi | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1439 | 2014-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
Find all providers in zip 91401 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356860795 | Sungah Lee | Dentist | 13716 Sherman Way, Van Nuys, CA 91405-2626 | 2017-09-18 |
1417401464 | Alexandrian Dentistry Inc. | Dentist | 7541 Sepulveda Blvd, Van Nuys, CA 91405-1645 | 2016-08-08 |
1841362027 | Mozhgan Azizi | Dentist | 14600 Sherman Way, Suite 100, Van Nuys, CA 91405-2283 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.