Individual provider Active NPI

Amy Ferson Asbedian, D.M.D.

  • Dentist
  • Duxbury, MA
National Provider Identifier
1073732095
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20479 Issued in MA
Practice address
104 Tremont St Ste 4
Duxbury, MA 02332-4750
Phone
(781) 934-5292
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20479 MA
Dentist 122300000X DN20479 MA Primary

Addresses

Primary practice location

104 Tremont St Ste 4
Duxbury, MA 02332-4750

Mailing address

104 Tremont St Ste 4
Duxbury, MA 02332-4750
Phone (781) 934-5292

Other names 1

  • Dr. Amy Ferson Asbedian Professional name

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
I20150625001683 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668783002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20479MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1073732095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST STE 4",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324750",
            "telephone_number": "781-934-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST STE 4",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324750",
            "telephone_number": "781-934-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASBEDIAN",
        "first_name": "AMY",
        "middle_name": "FERSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20479",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN20479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ASBEDIAN",
            "middle_name": "FERSON",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Duxbury, MA

Sources for this page

Verify at the official NPI Registry.