Lia Dental, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LIA DENTAL, PC

Practice address

79 Lynnfield St
Peabody, MA 01960-5201

Phone

(917) 892-3625

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shahnaaz Nistar, DDSNPI 1952610008

Title

Dentist/Owner

Phone

(917) 892-3625

Specialties & licenses 2

Addresses

Other names 1

• Growing Smile Pediatric Dentistry and Braces Doing business as

Practitioners 1

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

• Shahnaaz Nistar, DDS

  • Pediatric Dentistry
  • Auburn, MA
  • NPI 1952610008
  NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1295439768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DUDLEY ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554007",
            "telephone_number": "917-892-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605201",
            "telephone_number": "917-892-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIA DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "NISTAR",
        "authorized_official_first_name": "SHAHNAAZ",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "917-892-3625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Smile Pediatric Dentistry and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Lezell Levitan, NP
• Danny Levy, D.D.S.
• Naomi Levy, DMD
• Sanford M Levy, M.D.
• Erin Alexis Lewis
• Danielle Jena Lima, RN
• Michael Noel Lima
• Taylor Margaret Link
• Richard Paul Lipman, MD
• Madison Helen Litka

• Pediatric Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.