Individual provider Active NPI

Allen Niukian, D.M.D.

  • General Practice Dentistry
  • Watertown, MA
National Provider Identifier
1871639955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20227 Issued in MA
Practice address
521 Mount Auburn St
#102
Watertown, MA 02472-4191
Phone
(617) 923-0706
Fax
(617) 923-0706
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20227 MA Primary

Addresses

Primary practice location

521 Mount Auburn St
#102
Watertown, MA 02472-4191

Mailing address

521 Mount Auburn St
#102
Watertown, MA 02472-4191
Phone (617) 923-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 5, 2016 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20227MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen K. Niukian D.M.D. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871639955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "#102",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-923-0706",
            "fax_number": "617-923-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "#102",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-923-0706",
            "fax_number": "617-923-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIUKIAN",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.