NPIMap

Organization Active NPI

Demi Athans DMD LLC

  • General Practice Dentistry
  • Auburn, MA
National Provider Identifier
1043771793
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEMI ATHANS DMD LLC
Practice address
916 Southbridge St
Auburn, MA 01501-1321
Phone
(774) 262-2570
NPI assigned
Mar 26, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Dr. Demi Athans, DMDNPI 1669601654
Title
Owner
Phone
(508) 804-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

916 Southbridge St
Auburn, MA 01501-1321

Mailing address

916 Southbridge St
Auburn, MA 01501-1321
Phone (508) 804-3131

National Provider Directory

National Provider Directory

Locations

916 Southbridge St
Auburn, MA 01501
Phone (508) 804-3131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1043771793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011321",
            "telephone_number": "508-804-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011321",
            "telephone_number": "774-262-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMI ATHANS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "ATHANS",
        "authorized_official_first_name": "DEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-804-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.