Individual provider Active NPI

Amer Avdagic, DMD

  • General Practice Dentistry
  • Merrimac, MA
National Provider Identifier
1285290643
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858302 Issued in MA
Practice address
26 School St
Merrimac, MA 01860-1947
Phone
(978) 346-4610
NPI assigned
May 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1858302 MA Primary

Addresses

Primary practice location

26 School St
Merrimac, MA 01860-1947

Mailing address

82 Postgate Rd
South Hamilton, MA 01982-2417
Phone (802) 989-2851

Other practice location 1

716 Salem St
Groveland, MA 01834-1037
Phone (978) 373-4600

Other practice location 2

17 Boardman Ln
South Hamilton, MA 01982-1043
Phone (802) 989-2851

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
DN1858302MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Essex Dental PLLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

26 School St
Merrimac, MA 01860
Phone (978) 346-4610

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1285290643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 POSTGATE RD",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822417",
            "telephone_number": "802-989-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SCHOOL ST",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601947",
            "telephone_number": "978-346-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Salem St",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "MA",
            "postal_code": "018341037",
            "country_code": "US",
            "telephone_number": "978-373-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Boardman Ln",
            "address_purpose": "LOCATION",
            "city": "South Hamilton",
            "state": "MA",
            "postal_code": "019821043",
            "country_code": "US",
            "telephone_number": "802-989-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVDAGIC",
        "first_name": "AMER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-11",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimac, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.