Individual provider Active NPI

Iva Abdyli, DMD

  • Dentist
  • Reading, MA
National Provider Identifier
1194582445
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10000581 Issued in MA
Practice address
161 Ash St Ste B
Reading, MA 01867-3115
Phone
(781) 944-6761
NPI assigned
Mar 4, 2024
Last updated
Oct 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10000581 MA Primary

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

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

LicenseStateTypeSpecialty
DN10000581MAMDDentist

Practice roles

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

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.