Adi Davidyan, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1858664 Issued in MA

Practice address

2 Elm Top LN
Beverly, MA 01915-4665

Phone

(978) 578-6466

NPI assigned

May 25, 2020

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Somerville and Medford Orthodontic Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Somerville, MA
  • NPI 1902636871
  NPD Authorized official

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1821611807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELM TOP LN",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELM TOP LN",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154665",
            "telephone_number": "978-578-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDYAN",
        "first_name": "ADI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1858664",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Elizabeth Dasilva
• Reina Marie Dastous, CNM
• Janet B Dauray, PHD
• David C. Cormier, D.D.S.
• Davidyan Dental PC
• Eli Davidyan, DMD
• Idan Yaakov Davidyan, DMD
• Davis Opticians Inc.
• Jeffrey Paul Davis, M.S., CCC-SLP
• Jessica Davis

• Orthodontics and Dentofacial Orthopedics Dentistry in Beverly, MA
• Providers in Beverly, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.