Ross Ajemian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14348AJ Issued in MA

Practice address

110 Long Pond Road
Suite 120
Plymouth, MA 02360

Phone

(508) 830-0330

Fax

(508) 830-3355

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ross S Ajemian DDS

  • Dentist
  • Plymouth, MA
  • NPI 1053502211
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972642759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONG POND ROAD",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-830-0330",
            "fax_number": "508-830-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONG POND ROAD",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-830-0330",
            "fax_number": "508-830-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJEMIAN",
        "first_name": "ROSS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "14348AJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NO",
            "identifier": "14348AJ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X05260",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH",
            "identifier": "01834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "14348",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA CARE",
            "identifier": "14348",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George D Affonso, LADC I, CADC
• Melissa Elizabeth Aguiar, LMHC
• Ahmed M. Abdelal, PHD (Speech Pathology Associates of Plymouth)
• Aira Behavioral Health LLC
• Airport Taxi LLP
• Yudum Akyil, MA
• Adeeb H Al-Quthami, MD
• Alan Murphy MD PLLC
• Alan R. Murphy, M.D.,P.C.
• Brooke Albert

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.