Individual provider Active NPI

Aram Yuri Agadjanian, DDS

  • General Practice Dentistry
  • Fairfield, CT
National Provider Identifier
1891973384
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009095 Issued in CT
Practice address
400 Post Rd
Fairfield, CT 06824-6244
Phone
(203) 955-1777
Fax
(203) 955-1516
NPI assigned
Feb 6, 2008
Last updated
Oct 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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 009095 CT Primary

Addresses

Primary practice location

400 Post Rd
Fairfield, CT 06824-6244

Mailing address

1087 Bronson Rd
Fairfield, CT 06824-2821
Phone (203) 808-1322

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
009095CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1891973384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 BRONSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242821",
            "telephone_number": "203-808-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246244",
            "telephone_number": "203-955-1777",
            "fax_number": "203-955-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGADJANIAN",
        "first_name": "ARAM",
        "middle_name": "YURI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.