NPIMap

Organization Active NPI

Lisa B Emirzian DMD & Assoc

  • General Practice Dentistry
  • E Longmeadow, MA
National Provider Identifier
1609934306
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LISA B EMIRZIAN DMD & ASSOC
Practice address
16 Gerrard Avenue
E Longmeadow, MA 01028-1606
Phone
(413) 732-6281
Fax
(413) 731-8815
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Lisa B Emirzian, DMD
Title
Owner
Phone
(413) 732-6281

Specialties & licenses 1

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

Addresses

Primary practice location

16 Gerrard Avenue
E Longmeadow, MA 01028-1606

Mailing address

16 Gerrard Avenue
E Longmeadow, MA 01028-1606
Phone (413) 732-6281

Other names 1

  • Pyramid Dental Assoc PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lisa B Emirzian DMD Assoc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1609934306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GERRARD AVENUE",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010281606",
            "telephone_number": "413-732-6281",
            "fax_number": "413-731-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GERRARD AVENUE",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010281606",
            "telephone_number": "413-732-6281",
            "fax_number": "413-731-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B EMIRZIAN DMD & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "EMIRZIAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-732-6281",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pyramid Dental Assoc PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in E Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.