Active NPI
Aisha Raheem, DDS
- General Practice Dentistry
- Webster, MA
National Provider Identifier
1013205921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1857739
- Practice address
- 70 Worcester Rd
Webster, MA 01570-2158 - Phone
- (518) 604-6040
- NPI assigned
- Jul 12, 2011
- Last updated
- Mar 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15005 | MD | |
| General Practice Dentistry | 1223G0001X | DN1857739 | MA | Primary |
Addresses
Primary practice location
70 Worcester Rd
Webster, MA 01570-2158
Mailing address
1090 Northchase Pkwy SE Ste 290
Marietta, GA 30067-6402
Phone (770) 916-5352
Other practice location 1
70 Worcester Rd
Webster, MA 01570-2158
Phone (518) 604-6040
Other practice location 2
1900 N Broadway Ste 102
Baltimore, MD 21213-1437
Phone (443) 957-1602
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 |
|---|---|---|---|
| DN1857739 | MA | MD | General Practice Dentistry |
| 15005 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr, David M. Vieth 2 PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1619138666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013205921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PKWY SE STE 290",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676402",
"telephone_number": "770-916-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WORCESTER RD",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015702158",
"telephone_number": "518-604-6040"
}
],
"practiceLocations": [
{
"address_1": "70 Worcester Rd",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "MA",
"postal_code": "015702158",
"country_code": "US",
"telephone_number": "518-604-6040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 N Broadway Ste 102",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212131437",
"country_code": "US",
"telephone_number": "443-957-1602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHEEM",
"first_name": "AISHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "15005",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1857739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.