NPIMap

Organization Active NPI

Dental Arts of Saugus

  • Dental Clinic/Center
  • Saugus, MA
National Provider Identifier
1124413000
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN1856045 Issued in MA
Legal business name
DENTAL ARTS OF SAUGUS
Practice address
311 Central St
1St Floor
Saugus, MA 01906-2341
Phone
(866) 942-5444
NPI assigned
Mar 30, 2015
Organization subpart
Yes
Parent organization
TASHKENT DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Authorized official

Name
Dr. Ilyoss Gulyamov, DMDNPI 1427311471
Title
President
Phone
(239) 248-8862

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
Dental Clinic/Center 261QD0000X DN1856045 MA Primary

Addresses

Primary practice location

311 Central St
1St Floor
Saugus, MA 01906-2341

Mailing address

311 Central St
1St Floor
Saugus, MA 01906-2341
Phone (866) 942-5444

Other identifiers 1

IdentifierTypeStateIssuer
1427311471MedicaidMA

Other names 1

  • Tashkent Dental Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Arts of Lynn2 organizations share this tax ID, including this one
Part of
Dental Arts of Lynn

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 Central St
Fl 1
Saugus, MA 01906
Phone (866) 942-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1124413000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CENTRAL ST",
            "address_2": "1ST FLOOR",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062341",
            "telephone_number": "866-942-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CENTRAL ST",
            "address_2": "1ST FLOOR",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062341",
            "telephone_number": "866-942-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF SAUGUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TASHKENT DENTAL INC",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "GULYAMOV",
        "authorized_official_first_name": "ILYOSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-248-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427311471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tashkent Dental Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.