Diran Avedis Balekian, D.M.D., M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 1856331 Issued in MA

Practice address

15 Central St
Andover, MA 01810-3718

Phone

(978) 222-7460

NPI assigned

Jun 19, 2013

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: dbalekian46065@tuftsmedicine.direct-ci.com

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1639518921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W KNOLL RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CENTRAL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103718",
            "telephone_number": "978-222-7460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Washington St",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020351332",
            "country_code": "US",
            "telephone_number": "508-543-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALEKIAN",
        "first_name": "DIRAN",
        "middle_name": "AVEDIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11569",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN 1856331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bailyn, PH.D.
• Amanda Baker, BA
• Samantha Barry Baker, PH.D.
• Balance Counseling, Consulting & Coaching, LLC
• Ashley Elizabeth Baldwin
• Alice Baljian, RN
• Cara Anne Ball, M.S., CCC-SLP
• Colleen M Ballerini, LMHC
• Shelby Lynne Balukonis, MSW
• Jillian Banco, PSYD

• Dentist in Andover, MA
• Providers in Andover, MA by specialty
• Dentist in Massachusetts

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