KHACHATUR SARYAN D.D.S
NPI 1730630500
Dentist in Glendale, CA

Active since October 17, 2016PECOS Enrolled
457 W COLORADO ST STE 201, GLENDALE, CA 91204(818) 543-0707 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Khachatur Saryan D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHACHATUR SARYAN D.D.S (NPI 1730630500) is an individual dentist in Glendale, California, licensed in California (100964) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730630500
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKHACHATUR SARYANCredential: D.D.S
Location Address457 W COLORADO ST STE 201Glendale, CA 91204-4844
Mailing Address457 W Colorado St Ste 201Glendale, CA 91204-4844
Sole ProprietorYes
Enumeration DateOctober 17, 2016
✔ NPI 1730630500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 100964
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
457 W COLORADO ST STE 201, Glendale, CA 91204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khachatur Saryan D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Khachatur Saryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
457 W COLORADO ST, SUITE 201
Glendale, CA 91204
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
General Practice
6501 FOOTHILL BLVD STE 101
Tujunga, CA 91042
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
457 W COLORADO ST STE 201
GLENDALE, CA 91204
Dentist
457 W COLORADO ST STE 201
GLENDALE, CA 91204
Dentist (General Practice)
457 W COLORADO ST STE 201
GLENDALE, CA 91204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khachatur Saryan's NPI number?

The NPI number for Khachatur Saryan is 1730630500. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Khachatur Saryan located?

Khachatur Saryan practices at 457 W Colorado St Ste 201, Glendale, CA 91204. The listed phone number is (818) 543-0707.

What is Khachatur Saryan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Khachatur Saryan enrolled in Medicare?

Yes. Khachatur Saryan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khachatur Saryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khachatur Saryan reassigns Medicare benefits to 2 organizations: Saryan Dental Corp. (Glendale, CA) and David Saryan DDS Inc. (Tujunga, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khachatur Saryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khachatur Saryan was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.