Michael A Ayik, DMD
Individual provider Active NPI Dentist · Fram, MA
NPI 1982873758 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1982873758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 14593 (MA)
- Practice address
- 1310 Old Worcester Rd
Fram, MA 01701 - Phone
- (508) 872-8715
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160726002106 | MA | Order and Referring Only - Dentist |
6709179914 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14593 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Michael a Ayik | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14593 | MA | Yes |
Addresses
Primary practice location
1310 Old Worcester Rd
Fram, MA 01701
Mailing address
1310 Old Worcester Rd
Fram, MA 01701
Phone (508) 872-8715
Other providers in Fram, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.