Karekine Matossian, D.M.D.,M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19036 Issued in MA

Practice address

222 Waverley Ave
Watertown, MA 02472-3207

Phone

(617) 923-2330

Fax

(617) 923-2325

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Credentials

Master of Science

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225171994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WAVERLEY AVE",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723207",
            "telephone_number": "617-923-2330",
            "fax_number": "617-923-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WAVERLEY AVE",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723207",
            "telephone_number": "617-923-2330",
            "fax_number": "617-923-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOSSIAN",
        "first_name": "KAREKINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279935",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masi Dental Group PC (Alpha Plus Dental Center of Watertown)
• Mass General Brigham Urgent Care LLC
• Mass Optometric Associates, P. C.
• Rachel Ann Mastrangelo, MSED, BCBA, LABA
• Jaime Francisco Matorras
• Jeffrey S Matrician, LIC. AC.
• Jason Holt Mavor, D.C.
• Kristin Mawhinney, MS OTRL
• Mayani Dental Watertown LLC
• Erin Christine Mayberry

• General Practice Dentistry in Watertown, MA
• Providers in Watertown, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.