Active NPI
Arya Amol Pathak, DMD
- General Practice Dentistry
- Raynham, MA
National Provider Identifier
1689159006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1858217
- Practice address
- 325 New State Hwy
Raynham, MA 02767-5466 - Phone
- (901) 826-0104
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858217 | MA | Primary |
Addresses
Primary practice location
325 New State Hwy
Raynham, MA 02767-5466
Mailing address
44 Poplar LN
Hopkinton, MA 01748-1328
Phone (901) 826-0104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181115002656 | RI | Order and Referring Only - Other (Non-Physician) | 8325392038 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858217 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1689159006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 POPLAR LN",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481328",
"telephone_number": "901-826-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NEW STATE HWY",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675466",
"telephone_number": "901-826-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHAK",
"first_name": "ARYA AMOL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1858217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raynham, MA
- Orthopedic Care Physician Network LLC
- Jennifer Anne Otis, LMHC
- Staci Chantelle Paletta, D.M.D.
- Robert George Paquette, DDS
- Mrudula Patel, M.D.
- Brieanne Pereira, RN, BSN
- Mary Kate Peters, M.ED
- Brian Richard Petrie, D.C.
- Physical Therapy and Fitness Center of Raynham, Inc. (Physical Therapy and Fitness Center of Raynham)
- Physicians Pain Management Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.