NPIMap

Organization Active NPI

Dental Partners Lawrence LLC

  • Dentist
  • Lawrence, MA
National Provider Identifier
1285160408
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18174 Issued in MA
Legal business name
DENTAL PARTNERS LAWRENCE LLC
Practice address
525 S Broadway
Lawrence, MA 01843-3667
Phone
(978) 682-0641
NPI assigned
May 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Dr. Ramesh Izedian
Title
Dentist
Phone
(508) 676-8268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 18174 MA Primary

Addresses

Primary practice location

525 S Broadway
Lawrence, MA 01843-3667

Mailing address

673 Robeson St
Fall River, MA 02720-5425
Phone (508) 676-8268

Other identifiers 1

IdentifierTypeStateIssuer
0280712MedicaidMA

Other names 1

  • Dental Partners Lawrence Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1285160408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205425",
            "telephone_number": "508-676-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433667",
            "telephone_number": "978-682-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARTNERS LAWRENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "IZEDIAN",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-676-8268",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Partners Lawrence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.