Lowell Family Dental Practice PC
NPI 1588790067ActiveOrganization· Dentist, General Practice· Lowell, MA
Dentist, General Practice in Lowell, Massachusetts, registered in NPPES in February 2007. The authorized official on file is Konstantin V. Amirzadov, DMD, President.
Overview
| NPI | 1588790067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 18197 | MA |
| Dentist, General Practice | 1223G0001X | 21536 | MA |
| Dentist, General Practice | 1223G0001X | 21444 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 56 general dentists in Lowell · All general dentists in Massachusetts