Berdj Kiladjian, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

17049 Issued in MA

Practice address

1842 Beacon St
Brookline, MA 02445-1930

Phone

(617) 566-5445

Fax

(617) 730-8482

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brookline Denture Center, LLC

  • Dentist
  • Brookline, MA
  • NPI 1134456346
  Authorized official Same address or phone
• Longwood Dental Group

  • Dental Laboratory Technician
  • Brookline, MA
  • NPI 1033233713
  Authorized official Same address or phone

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518081389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-566-5445",
            "fax_number": "617-730-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-566-5445",
            "fax_number": "617-730-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILADJIAN",
        "first_name": "BERDJ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "17049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Khalil
• Anna Kharaz
• Chander Kumar Khatri, M.D.
• Samia J Khoury, MD
• Aarti Khullar, PSYD
• Kim E Bowman MD PC
• Hyung Joon Kim, D.D.S.
• Saechin Kim, MD PHD
• So Dam Kim, M.D.
• Kimberley Richardson, LLC

• Prosthodontics in Brookline, MA
• Providers in Brookline, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.