DR. MARK DEUKMEDJIAN (NPI# 1992831812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992831812 |
| Entity Type | Individual |
| Full Name | DR. MARK DEUKMEDJIAN |
| Credential | D.D.S., M.S.D. |
| Practice Address |
11155 Tampa Ave Northridge CA 91326-2254 |
| Mailing Address |
12018 Louise Ave Granada Hills CA 91344-2450 |
| Practice Telephone | 8183603636 |
| Practice Fax Number | 8183634002 |
| Mailing Telephone | 8187239015 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
43778 | CA | Dental Providers |
| Street Address |
11155 TAMPA AVE |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91326-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043438773 | Tam-huong Ngoc Tran | Dentist | 11155 Tampa Ave, Northridge, CA 91326-2254 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172989 | Carrie Jain | Speech-Language Pathologist | 20341 Livorno Way, Porter Ranch, CA 91326 | 2017-05-25 |
| 1932583143 | Karyn L Delichte | Student in an Organized Health Care Education/Training Program | 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 | 2015-07-17 |
| 1104239995 | Fadia Zaky Shehata | Anesthesiology | 19012 Vist Grande Wy, Porterranch, CA 91326 | 2014-06-09 |
| 1992058291 | Beverly Hills Anesthesia Group, LLC | Anesthesiology | 11177 Tampa Ave, Suite B, Northridge, CA 91326 | 2012-10-24 |
| 1922386416 | Estela Hauser | Physician Assistant | 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 | 2011-08-01 |
| 1528351459 | Alina Katsman | Family Medicine | 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 | 2011-05-25 |
| 1073811899 | Terry M. Mcelroy Inc. | Nurse Anesthetist, Certified Registered | 11931 Eddleston Dr., Northridge, CA 91326 | 2011-03-02 |
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1558505321 | David Dae-young Kim | Internal Medicine | 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 | 2009-04-24 |
| Find all providers in zip 91326 | ||||
| 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 |
|---|---|---|---|---|
| 1760969760 | Nicholas Cody Ng | Dentist | 11266 Garden Grove Ave, Northridge, CA 91326-2525 | 2018-07-23 |
| 1861565491 | Robert D. Berrios | Dentist | 8345 Reseda Blvd Ste 201, Northridge, CA 91324-5952 | 2006-11-15 |
| 1477505006 | Arleen Pak Azar-mehr | Dentist | 9535 Reseda Blvd, #206, Northridge, CA 91324-2310 | 2006-05-16 |
| 1104827237 | David E Pair | Dentist | 18907 Nordhoff St, #42, Northridge, CA 91324-3751 | 2005-08-10 |
| 1588047807 | Melina Adamian Dds Ms Inc | Dentist | 18250 Roscoe Blvd, 315, Northridge, CA 91325-4226 | 2015-07-06 |
| 1699041798 | Mario E. Tai, D.m.d., D.m.sc., Inc. | Dentist | 18250 Roscoe Blvd, Suite 315, Northridge, CA 91325-4226 | 2012-03-22 |
| 1063690386 | Garemani Shahmohammadi Dds Professional Dental Corp | Dentist | 8540 Reseda Blvd, #102, Northridge, CA 91324 | 2008-02-08 |
| 1588854152 | Ryan Curtis Pendleton | Dentist | 18433 Roscoe Blvd, Suite #201, Northridge, CA 91325-4108 | 2007-07-30 |
| 1649460627 | Jeffrey Chung Liu | Dentist | 8940 Reseda Blvd, #101, Northridge, CA 91324-3900 | 2007-07-26 |
| 1487782330 | Jason Warren Pair | Dentist | 18907 Nordhoff St, Suite 42, Northridge, CA 91324-3751 | 2007-03-01 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91326 |
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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.