NPIMap

Individual provider Active NPI

Sevak Abrahamian, DDS

  • General Practice Dentistry
  • Wilmington, MA
National Provider Identifier
1629096599
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18961 Issued in MA
Practice address
230 Lowell St
Wilmington, MA 01887-3087
Phone
(978) 658-3811
NPI assigned
Jul 18, 2006
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 18961 MA Primary

Addresses

Primary practice location

230 Lowell St
Wilmington, MA 01887-3087

Mailing address

230 Lowell St
Wilmington, MA 01887-3087
Phone (978) 658-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18961MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sevak Abrahamian DDS LLC General Practice Current Accepting new patients

Locations

384 Middlesex Ave
Wilmington, MA 01887

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1629096599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873087",
            "telephone_number": "978-658-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873087",
            "telephone_number": "978-658-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMIAN",
        "first_name": "SEVAK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.