Active NPI
Khatchatour Norairi Kazarian
- Dental Hygienist
- Allston, MA
National Provider Identifier
1962624148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 9187
- Practice address
- 287 Western Ave
Allston, MA 02134-1010 - Phone
- (617) 783-0500
- Fax
- (617) 783-5514
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 9187 | MA | Primary |
| General Practice Dentistry | 1223G0001X | 21886 | MA |
Addresses
Primary practice location
287 Western Ave
Allston, MA 02134-1010
Mailing address
60 Chestnut St
Watertown, MA 02472-2339
Phone (617) 783-0500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9187 | MA | MD | Dental Hygienist |
| 21886 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles River Community Health Inc | Past | Accepting new patients | |
| Mt Auburn Professional Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Brighton, MA
- NPI 1487664884
-
- Obstetrics & Gynecology Physician
- Watertown, MA
- NPI 1407865439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1962624148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CHESTNUT ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722339",
"telephone_number": "617-783-0500",
"fax_number": "617-783-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 WESTERN AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341010",
"telephone_number": "617-783-0500",
"fax_number": "617-783-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZARIAN",
"first_name": "KHATCHATOUR",
"middle_name": "NORAIRI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "9187",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21886",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.