Aram Mazhary, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11654 Issued in MN

Practice address

828 Hawthorne St E
Saint Paul, MN 55106-3252

Phone

(651) 774-2959

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Peterson & Peterson DDS PA

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1013988765
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1780655753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172309",
            "telephone_number": "612-799-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HAWTHORNE ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063252",
            "telephone_number": "651-774-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHARY",
        "first_name": "ARAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584162300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Mayrand, MD
• Carol Gray Mayry, CRNA
• Mayson Home Care LLC
• Jennifer Maytum, CPNP
• Linda Lou Nylen Mazar
• Sarah Annunciata Mazig, M.D.
• Eveline Ngum Mba, RN
• Gina Chiamaka Mbachu, PHARM D
• Noceba Mbangata
• MBH Chiropractic, LLC

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.

Verify at the official NPI Registry.