Tigran Avetisyan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857776 Issued in MA

Practice address

131 Merrimack St
Lowell, MA 01852-1723

Phone

(978) 788-9338

Fax

(978) 225-2591

NPI assigned

Oct 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Avetis PC

  • General Practice Dentistry
  • Lexington, MA
  • NPI 1902504723
  NPD Authorized official
• Avetisyan DMD PC

  • General Practice Dentistry
  • Lowell, MA
  • NPI 1699230854
  NPD Authorized official
• My Smile Experience LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Somerville, MA
  • NPI 1942140744
  NPD (past)
• My Smile Experience

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Windham, NH
  • NPI 1720617392
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1497266852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LOWELL ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202234",
            "telephone_number": "616-780-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521723",
            "telephone_number": "978-788-9338",
            "fax_number": "978-225-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034625",
            "country_code": "US",
            "telephone_number": "781-229-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Leonard St",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "MA",
            "postal_code": "024782519",
            "country_code": "US",
            "telephone_number": "617-489-1215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Summer St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021443141",
            "country_code": "US",
            "telephone_number": "617-625-9400",
            "fax_number": "617-718-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "TIGRAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811901473",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Austin, PT
• Taylor E Austin, MA
• Heather Averett, P.T.A
• Rachel Anne Avery
• Avetisyan DMD PC
• Nick Avila
• Patience N Awah
• Khen Nudoru Awasom-Nkimbeng
• Awasthy DDS PC
• Vineet Awasthy, DDS

• General Practice Dentistry in Lowell, MA
• Providers in Lowell, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.