Individual provider Active NPI

Christina Orchanian, DDS

  • General Practice Dentistry
  • Wilmington, MA
National Provider Identifier
1023264165
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855629 Issued in MA
Practice address
230 Lowell St
Wilmington, MA 01887-3087
Phone
(978) 658-3811
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855629 MA Primary

Addresses

Primary practice location

230 Lowell St
Wilmington, MA 01887-3087

Mailing address

230 Lowell St
Wilmington, MA 01887-3087
Phone (978) 658-3811

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherDDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323000794 MA Order and Referring Only - DentistPractitioner - Dentist 4981901642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1023264165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873087",
            "telephone_number": "978-658-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873087",
            "telephone_number": "978-658-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCHANIAN",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "390200000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.