Iva Abdyli, DMD

Individual provider Active NPI Dentist · Reading, MA

NPI 1194582445 · NPPES record last updated Oct 19, 2024

Key facts

NPI
1194582445
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
DN10000581 (MA)
Practice address
161 Ash St Ste B
Reading, MA 01867-3115
Phone
(781) 944-6761
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN10000581MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Dentistry Dentist Current
since Oct 20, 2024
Accepting new patients
Reading Dental Associates PC Dentist Current
since Oct 20, 2024
Accepting new patients

Locations

161 Ash St
Ste B
Reading, MA 01867
Phone (781) 944-6761

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10000581 MA Yes

Addresses

Primary practice location

161 Ash St Ste B
Reading, MA 01867-3115

Mailing address

161 Ash St Ste B
Reading, MA 01867-3115
Phone (781) 944-6761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2024.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1194582445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 ASH ST STE B",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673115",
            "telephone_number": "781-944-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ASH ST STE B",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673115",
            "telephone_number": "781-944-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDYLI",
        "first_name": "IVA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

All providers in Reading, MA · Dentist in Massachusetts

Sources for this page

Verify at the official NPI Registry.