NPIMap

Organization Active NPI

Dental Arts of Lynn

Doing business as Tashkent Dental Inc

  • Dental Clinic/Center
  • Lynn, MA
National Provider Identifier
1336527696
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN1856045 Issued in MA
Legal business name
DENTAL ARTS OF LYNN
Doing business as
Tashkent Dental Inc
Practice address
60 Lewis St
Suite 6
Lynn, MA 01902-4858
Phone
(866) 942-5444
Fax
(866) 942-5444
NPI assigned
May 7, 2015
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
TASHKENT DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Ilyoss Gulyamov, DMDNPI 1427311471
Title
Dentist, President
Phone
(866) 942-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN1856045 MA Primary

Addresses

Primary practice location

60 Lewis St
Suite 6
Lynn, MA 01902-4858

Mailing address

60 Lewis St
Suite 6
Lynn, MA 01902-4858
Phone (866) 942-5444

Other identifiers 1

IdentifierTypeStateIssuer
110097277AMedicaidMA

Other names 1

  • Tashkent Dental Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Arts of Lynn2 organizations share this tax ID, including this one
Part of
Dental Arts of Lynn

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1336527696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LEWIS ST",
            "address_2": "SUITE 6",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024858",
            "telephone_number": "866-942-5444",
            "fax_number": "866-942-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LEWIS ST",
            "address_2": "SUITE 6",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024858",
            "telephone_number": "866-942-5444",
            "fax_number": "866-942-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF LYNN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TASHKENT DENTAL INC",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "GULYAMOV",
        "authorized_official_first_name": "ILYOSS",
        "authorized_official_title_or_position": "DENTIST, PRESIDENT",
        "authorized_official_telephone_number": "866-942-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110097277A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tashkent Dental Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.