Individual provider Active NPI

Ugur F Avcikurt, DMD

  • General Practice Dentistry
  • Lynn, MA
National Provider Identifier
1437188265
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18891 Issued in MA
Practice address
10 Kirtland St
Lynn, MA 01905-1821
Phone
(781) 595-2552
Fax
(781) 533-0730
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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 18891 MA Primary

Addresses

Primary practice location

10 Kirtland St
Lynn, MA 01905-1821

Mailing address

161 Lake Shore Rd
#1
Brighton, MA 02135-6345
Phone (617) 782-1171

Other identifiers 1

IdentifierTypeStateIssuer
0279366MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103000858 MA Order and Referring Only - DentistPractitioner - Dentist 1254722192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18891MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Dental Health Inc Past Accepting new patients

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1437188265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 LAKE SHORE RD",
            "address_2": "#1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021356345",
            "telephone_number": "617-782-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KIRTLAND ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051821",
            "telephone_number": "781-595-2552",
            "fax_number": "781-533-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVCIKURT",
        "first_name": "UGUR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279366",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.