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Idan Yaakov Davidyan, DMD

NPI 1144842758ActiveIndividual· Dentist· Beverly, MA

Dentist (DMD) in Beverly, Massachusetts, licensed in MA, with an NPI issued in May 2020. Part D covered 91 prescriptions written in 2024, 100% of them generic.

Overview

NPI1144842758
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedMay 18, 2020
Last updated in NPPESJul 28, 2020
Certified by providerJul 28, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDN1858650MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)91 · 91 30-day fills
Patients63
Total drug cost$523.29
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Beverly

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