Active NPI
Abulfaz Isayev
- Dentist
- Lowell, MA
National Provider Identifier
1154095693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859228
- Practice address
- 155 Market St
Lowell, MA 01852-1922 - Phone
- (978) 591-6408
- NPI assigned
- Aug 8, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859228 | MA | Primary |
Addresses
Primary practice location
155 Market St
Lowell, MA 01852-1922
Mailing address
375 Acorn Park Dr Apt 5415
Belmont, MA 02478-1437
Phone (857) 333-6948
Other practice location 1
245 First St
Cambridge, MA 02142-1200
Phone (617) 892-8245
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859228 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1154095693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ACORN PARK DR APT 5415",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781437",
"telephone_number": "857-333-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MARKET ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521922",
"telephone_number": "978-591-6408"
}
],
"practiceLocations": [
{
"address_1": "245 First St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021421200",
"country_code": "US",
"telephone_number": "617-892-8245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAYEV",
"first_name": "ABULFAZ",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-08",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.