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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10000581 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Family Dentistry | Dentist | Current |
Accepting new patients |
| Reading Dental Associates PC | Dentist | Current |
Accepting new patients |
Locations
161 Ash St
Ste B
Reading, MA 01867
Phone (781) 944-6761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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. Record last updated by the provider on Oct 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.