B. DEIRMENJIAN, DDS, INC.


Address: 3428 Watt Ave Ste B, Sacramento, CA 95821-3624
Phone: 9164851555

B. DEIRMENJIAN, DDS, INC. (NPI# 1619195849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619195849
Entity Type Organization
Organization Name B. DEIRMENJIAN, DDS, INC.
Other Organization Name SMILES WEST
Practice Address 3428 Watt Ave Ste B
Sacramento
CA 95821-3624
Mailing Address 260 S Glendora Ave
2nd Floor
West Covina
CA 91790-3041
Practice Telephone 9164851555
Practice Fax Number 9164817111
Mailing Telephone 6262141900
Mailing Fax Number 6262141952
Enumeration Date 2007-04-23
Last Update Date 2011-08-03
Authorized Official Name DR. BAROUIR DEIRMENJIAN (CEO)
Authorized Official Telephone 3109236981
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers
Y 1223E0200X Dentist
Specialization: Endodontics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Smiles West Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992082960 B. Deirmenjian, Dds, Inc. Dentist 12940 Foothill Blvd., C, Sn Fernando, CA 91340 2011-11-04
1356560494 B. Deirmenjian, Dds, Inc. Dentist 3150 E Imperial Hwy Ste 200, Lynwood, CA 90262-3226 2007-04-25
1649498817 B. Deirmenjian, Dds, Inc. Dentist 15448 Amar Rd, La Puente, CA 91744-2802 2007-04-23
1568680700 B. Deirmenjian, Dds, Inc. Dentist 31500 Grape St Ste 8, Lake Elsinore, CA 92532-9702 2007-04-23
1194943340 B. Deirmenjian, Dds, Inc. Dentist 3150 E Imperial Hwy Ste 210, Lynwood, CA 90262-3226 2007-04-23
1972871309 B. Deirmenjian, Dds, Inc. Dentist 12820 Victory Blvd, North Hollywood, CA 91606-3013 2011-12-13
1902026065 B. Deirmenjian, Dds, Inc. Dentist 3428 Watt Ave, Sacramento, CA 95821-3624 2007-04-30

Office Location

Street Address 3428 WATT AVE STE B
City SACRAMENTO
State CA
Zip Code 95821-3624

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NPI Name Taxonomy Address Enumeration
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1871063420 Otto Bock Orthopedic Services LLC Durable Medical Equipment & Medical Supplies 3800 Watt Avenue Suite 151, Sacramento, CA 95821 2018-11-27
1386123438 Rene William Villanueva Marriage & Family Therapist 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 2018-08-09
1558853135 Behavioral Health Solutions of The Pacific Clinic/Center 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 2018-05-31
1679064091 Carrissa Jean Angelique Bishop Counselor 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 2018-05-21
1164943049 Vanessa Selene Tinajero Social Worker 3615 Macorni Ave, Sacramento, CA 95821 2017-06-30
1316488562 Lucas Hansen Student in an Organized Health Care Education/Training Program 3007 Clairidge Oak Ct, Sacramento, CA 95821 2017-03-20
1215383054 Mark Brufladt Physical Therapy Assistant 3548 Ardmore Rd, Sacramento, CA 95821 2016-05-11
1053782789 Marianna Jakucska Marriage & Family Therapist 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 2015-10-07
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629459227 Harkeet Sappal Dentist 2830 G St Ste 100, Sacramento, CA 95816-3784 2015-06-09
1447463120 Philip Jon Hankins Dentist 1217 26th St, Sacramento, CA 95816-5617 2007-05-08
1992870745 Robert Hunter Sharp Dentist 2 Scripps Dr Ste 210, Sacramento, CA 95825-6207 2006-11-21
1497145064 S Jang Dds Incorporated Dentist 3433 Arden Way, Sacramento, CA 95825-2018 2015-02-03
1972840296 Brandon J Webb Dentist 2322 Butano Dr, Suite 212a, Sacramento, CA 95825-0629 2013-01-07
1609182203 Keith Richard Boyer Dentist 1217 26th St, Sacramento, CA 95816-5617 2010-08-20
1104055235 Peiti Su Dentist 1721 La Playa Way, Sacramento, CA 95864-1508 2009-07-10
1316129935 Drs. Whitnack, Keating, Greene & Bal, A Dental Corporation Dentist 1810 Professional Dr, Suite A, Sacramento, CA 95825-2165 2007-12-05
1275727513 Andrew Sean Barak Dentist 1315 Alhambra Blvd, Suite 340, Sacramento, CA 95816-5244 2007-08-29
1700087913 Cary Craig Syamken Dentist 1315 Alhambra Blvd, Suite 340, Sacramento, CA 95816-5244 2007-05-29
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Competitor

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City SACRAMENTO
Zip Code 95821

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Dataset Information

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.

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