Individual provider Active NPI

Aram Michael Aivazian, DDS

  • Dentist
  • Mount Prospect, IL
National Provider Identifier
1306835517
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-025130 Issued in IL
Practice address
1128 S Elmhurst Rd
Mt Prospect, IL 60056-4241
Phone
(847) 228-5523
Fax
(847) 228-5536
NPI assigned
Oct 19, 2005
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-025130 IL Primary

Addresses

Primary practice location

1128 S Elmhurst Rd
Mt Prospect, IL 60056-4241

Mailing address

1128 S Elmhurst Rd
Mt Prospect, IL 60056-4241
Phone (847) 228-5523

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
019-025130ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Aivazian DDS LTD Current Accepting new patients

Locations

1128 S Elmhurst Rd
Mt Prospect, IL 60056
Phone (847) 228-5523

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1306835517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 S ELMHURST RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564241",
            "telephone_number": "847-228-5523",
            "fax_number": "847-228-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 S ELMHURST RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564241",
            "telephone_number": "847-228-5523",
            "fax_number": "847-228-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIVAZIAN",
        "first_name": "ARAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.