Active NPI
Azizat Adediran
- Orthodontics and Dentofacial Orthopedics Dentistry
- Worcester, MA
National Provider Identifier
1144137902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN10001676
- Practice address
- 388 Park Ave
Worcester, MA 01610-1025 - Phone
- (617) 702-0202
- NPI assigned
- Aug 26, 2026
- Last updated
- Sep 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN10001676 | MA | Primary |
Addresses
Primary practice location
388 Park Ave
Worcester, MA 01610-1025
Mailing address
5 Mount Royal Ave
Marlborough, MA 01752-1981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1144137902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MOUNT ROYAL AVE",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 PARK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016101025",
"telephone_number": "617-702-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEDIRAN",
"first_name": "AZIZAT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "DN10001676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.