Organization Active NPI

Avetisyan DMD PC

Doing business as United Dental

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1699230854
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AVETISYAN DMD PC
Doing business as
United Dental
Practice address
131 Merrimack St
Lowell, MA 01852-1723
Phone
(616) 780-4642
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Tigran Avetisyan, DMDNPI 1497266852
Title
President
Phone
(616) 780-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

131 Merrimack St
Lowell, MA 01852-1723

Mailing address

428 Lowell St
Lexington, MA 02420-2234
Phone (616) 780-4642

Other names 1

  • United Dental Doing business as

National Provider Directory

National Provider Directory

Locations

131 Merrimack St
Lowell, MA 01852
Phone (508) 743-7888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1699230854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LOWELL ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202234",
            "telephone_number": "616-780-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521723",
            "telephone_number": "616-780-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVETISYAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-780-4642",
        "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": "United Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.