Organization Active NPI

Amir Shahbazian, DMD PC

  • Dentist
  • Quincy, MA
National Provider Identifier
1740403906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17290 Issued in MA
Legal business name
AMIR SHAHBAZIAN, DMD PC
Practice address
157 Washington St
Quincy, MA 02169-5514
Phone
(617) 479-7625
Fax
(617) 479-7610
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amir Shahbazian, DMD PC
Title
Dentist
Phone
(617) 479-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17290 MA Primary

Addresses

Primary practice location

157 Washington St
Quincy, MA 02169-5514

Mailing address

157 Washington St
Quincy, MA 02169-5514
Phone (617) 479-7625

Other identifiers 2

IdentifierTypeStateIssuer
1578685236OtherMADENTIST
1134262587OtherMADENTIST

National Provider Directory

National Provider Directory

Locations

157 Washington St
Quincy, MA 02169
Phone (617) 471-5290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740403906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695514",
            "telephone_number": "617-479-7625",
            "fax_number": "617-479-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695514",
            "telephone_number": "617-479-7625",
            "fax_number": "617-479-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR SHAHBAZIAN, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-479-7625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "17290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1578685236",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1134262587",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.