Organization Active NPI

Ralph Sahakian, D.M.D., P.C.

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1437374352
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MA16963 Issued in MA
Legal business name
RALPH SAHAKIAN, D.M.D., P.C.
Practice address
14 Lake Ave
Worcester, MA 01604-5823
Phone
(508) 753-5115
Fax
(508) 753-6461
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mrs. Susan J Whiterell
Title
Office Manager
Phone
(508) 753-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MA16963 MA Primary

Addresses

Primary practice location

14 Lake Ave
Worcester, MA 01604-5823

Mailing address

14 Lake Ave
Worcester, MA 01604-5823
Phone (508) 753-5115

National Provider Directory

National Provider Directory

Locations

14 Lake Ave
Worcester, MA 01604
Phone (508) 753-5115

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1437374352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LAKE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016045823",
            "telephone_number": "508-753-5115",
            "fax_number": "508-753-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LAKE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016045823",
            "telephone_number": "508-753-5115",
            "fax_number": "508-753-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH SAHAKIAN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "WHITERELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-753-5115",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA16963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.