Organization Active NPI

Raffi Bagdassarian DMD, PC

  • Dental Clinic/Center
  • Medford, MA
National Provider Identifier
1932504552
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19338 Issued in MA
Legal business name
RAFFI BAGDASSARIAN DMD, PC
Practice address
411 High St
Medford, MA 02155-3610
Phone
(781) 396-7707
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Raffi Bagdassarian, DMD
Title
President
Phone
(781) 396-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19338 MA Primary

Addresses

Primary practice location

411 High St
Medford, MA 02155-3610

Mailing address

411 High Street
Medford, MA 02155
Phone (781) 396-7707

National Provider Directory

National Provider Directory

Locations

411 High St
Medford, MA 02155
Phone (781) 396-7707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1932504552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HIGH STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-396-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553610",
            "telephone_number": "781-396-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI BAGDASSARIAN DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "BAGDASSARIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-396-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "19338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.