Talar Kiladjian, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859109 Issued in MA

Practice address

3033 Washington St
Roxbury, MA 02119-1227

Phone

(617) 541-2200

NPI assigned

Jun 18, 2021

Sex

Female

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

State licenses

Practice roles

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.

• Dental Dreams, LLC

  • Dentist
  • Roxbury, MA
  • NPI 1225207517
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1639748296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 MASSACHUSETTS AVE APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181474",
            "telephone_number": "781-572-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191227",
            "telephone_number": "617-541-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1842 Beacon St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024451977",
            "country_code": "US",
            "telephone_number": "617-738-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILADJIAN",
        "first_name": "TALAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Leigh Kerber, O.D.
• Elyse Parsons Ketchum
• Rashinda Tanika Key, LCSW
• Eris Keynan, LCSW
• Sobia Khokhar, BA, MSM
• Kyva Killebrew
• Aina Maria Kim
• Jungkeun Kim
• Kind Home Healthcare
• Monica King

• General Practice Dentistry in Roxbury, MA
• Providers in Roxbury, 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 Aug 16, 2021; 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.