NPIMap

Organization Active NPI

Melrose Family Dentistry

  • General Practice Dentistry
  • Melrose, MA
National Provider Identifier
1174568307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19183 Issued in MA
Legal business name
MELROSE FAMILY DENTISTRY
Practice address
10 E Emerson St
Melrose, MA 02176-3521
Phone
(781) 665-2113
Fax
(781) 665-0404
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Ara Surabian, D.M.D.NPI 1013034693
Title
President
Phone
(781) 665-2113

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16561 MA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19183 MA Primary

Addresses

Primary practice location

10 E Emerson St
Melrose, MA 02176-3521

Mailing address

10 E Emerson St
Melrose, MA 02176-3521
Phone (781) 665-2113

Other names 1

  • George A. Surabian D.M.D., P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

10 E Emerson St
Melrose, MA 02176
Phone (781) 665-2113

Practitioners & affiliated clinicians

Practitioners 4

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174568307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E EMERSON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763521",
            "telephone_number": "781-665-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E EMERSON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763521",
            "telephone_number": "781-665-2113",
            "fax_number": "781-665-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURABIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-665-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16561",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George A. Surabian D.M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.