Organization Active NPI

North St Periodontics PLLC

  • Dentist
  • Chelmsford, MA
National Provider Identifier
1285343350
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTH ST PERIODONTICS PLLC
Practice address
18 North Rd
Chelmsford, MA 01824-2736
Phone
(978) 256-3301
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. Yana Amirian, DMDNPI 1326121120
Title
Dentist/Owner
Phone
(617) 291-7094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

18 North Rd
Chelmsford, MA 01824-2736

Mailing address

50 Pantry Rd
Sudbury, MA 01776-1113
Phone (617) 291-7094

National Provider Directory

National Provider Directory
Tax ID family
North St Periodontics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 North Rd
Chelmsford, MA 01824
Phone (978) 256-2561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1285343350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PANTRY RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761113",
            "telephone_number": "617-291-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NORTH RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242736",
            "telephone_number": "978-256-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ST PERIODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "AMIRIAN",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "617-291-7094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.