Active NPI
Aram Sirakian, D.M.D.
- Prosthodontics
- Brookline, MA
National Provider Identifier
1194945352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 17278
- Practice address
- 1842 Beacon Street
Brookline, MA 02445 - Phone
- (617) 566-5445
- Fax
- (617) 730-8482
- NPI assigned
- Apr 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17278 | MA | Primary |
Addresses
Primary practice location
1842 Beacon Street
Brookline, MA 02445
Mailing address
1842 Beacon Street
Brookline, MA 02445
Phone (617) 566-5445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 15, 2016 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17278 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194945352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 BEACON STREET",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-566-5445",
"fax_number": "617-730-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 BEACON STREET",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-566-5445",
"fax_number": "617-730-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRAKIAN",
"first_name": "ARAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "17278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.