Highland DMD Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HIGHLAND DMD CORP

Doing business as

Dentistry in the Highlands

Practice address

673 Robeson St
Fall River, MA 02720-5425

Phone

(508) 676-8268

Fax

(508) 677-4929

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramesh Izedian, DMD

Title

Owner

Phone

(508) 676-8268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dentistry in the Highlands Doing business as

Locations

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1851548994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205425",
            "telephone_number": "508-676-8268",
            "fax_number": "508-677-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205425",
            "telephone_number": "508-676-8268",
            "fax_number": "508-677-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "IZEDIAN",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-676-8268",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MASS",
            "identifier": "1609907823",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry in the Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Highland Adult Day Care, Inc. (Riverview Adult Day Care)
• Highland Manor Care and Rehabilitation Center LLC
• Highland Manor Nursing Home Inc.
• Highland Obstetrics and Gynecology, Inc.
• Highland Pediatrics
• Highland Primary Care Group

• Dentist in Fall River, MA
• Providers in Fall River, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.