Individual provider Active NPI

Avadis Abrahamian, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, DC
National Provider Identifier
1891700571
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4133 Issued in DC
Practice address
4910 Massachusetts Ave NW Ste 310
Washington, DC 20016-4382
Phone
(202) 363-2465
Fax
(202) 363-2465
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4133 DC Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW Ste 310
Washington, DC 20016-4382

Mailing address

4910 Massachusetts Ave NW Ste 310
Washington, DC 20016-4392
Phone (202) 363-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4133DCMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1891700571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 310",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164392",
            "telephone_number": "202-363-2465",
            "fax_number": "202-363-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 310",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164382",
            "telephone_number": "202-363-2465",
            "fax_number": "202-363-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMIAN",
        "first_name": "AVADIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.