Raffi Kaprielian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17263 Issued in NJ

Practice address

432 Bergen Blvd
Suite C
Ridgefield, NJ 07657-2895

Phone

(201) 943-8746

Fax

(201) 943-6783

NPI assigned

Oct 13, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1184876815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BERGEN BLVD",
            "address_2": "SUITE C",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572895",
            "telephone_number": "201-943-8746",
            "fax_number": "201-943-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BERGEN BLVD",
            "address_2": "SUITE C",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572895",
            "telephone_number": "201-943-8746",
            "fax_number": "201-943-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPRIELIAN",
        "first_name": "RAFFI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "17263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.