Organization Active NPI

Ross S Ajemian DDS

  • Dentist
  • Plymouth, MA
National Provider Identifier
1053502211
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14348 AJ Issued in MA
Legal business name
ROSS S AJEMIAN DDS
Practice address
110 Long Pond Road
Suite 120
Plymouth, MA 02360
Phone
(508) 830-0330
Fax
(508) 830-3355
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Ross S Ajemian, DDSNPI 1972642759
Title
Owner
Phone
(508) 830-0330

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14348 AJ MA Primary

Addresses

Primary practice location

110 Long Pond Road
Suite 120
Plymouth, MA 02360

Mailing address

110 Long Pond Road
Suite 120
Plymouth, MA 02360
Phone (508) 830-0330

Other identifiers 2

IdentifierTypeStateIssuer
14348OtherMADELTA DENTAL
X05260OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

110 Long Pond Rd
Ste 120
Plymouth, MA 02360
Phone (508) 830-0330

Practitioners & affiliated clinicians

Practitioners 1

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1053502211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONG POND ROAD",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-830-0330",
            "fax_number": "508-830-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONG POND ROAD",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-830-0330",
            "fax_number": "508-830-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS S AJEMIAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "AJEMIAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-830-0330",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "14348 AJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "14348",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X05260",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.