Mary Victoria Jaffarian, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21727 Issued in MA

Practice address

1144 Newport Ave
Attleboro, MA 02703-7033

Phone

(508) 790-0178

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.jaffarian.p4@direct.bvchc.nextgenshare.com

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.

• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • Johnston, RI
  • NPI 1396780086
  Medicare reassignment NPD
• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • North Providence, RI
  • NPI 1912328600
  NPD

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1902923774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMELOT DR",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606545",
            "telephone_number": "401-574-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NEWPORT AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027037033",
            "telephone_number": "508-790-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFARIAN",
        "first_name": "MARY",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21727",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN21727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICAL ASSISTANCE PRO",
            "identifier": "MJ6240",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Quatie Ivens, MSPT
• Julia Urszula Iwaniec, PT, DPT
• Tracy Jackman
• Patricia Jackson
• Poya Michael Jafari, DMD
• Liudvikas J. Jagminas, MD
• Christine Jalowayski
• Ciara Jaro-Locke, APRN, NP-BC
• Erson Jean Philippe, APRN
• Fleurimonde Jean-Pierre

• Dentist in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.