Kaitlyn Lauren Dal Molin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859142 Issued in MA

Practice address

386 W Broadway
Boston, MA 02127-2215

Phone

(617) 464-5825

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1013477744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHURCH ST APT 8",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604783",
            "telephone_number": "207-730-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W BROADWAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272215",
            "telephone_number": "617-464-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAL MOLIN",
        "first_name": "KAITLYN",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisys Pharmacy Corp
• Helen Maria Dajer, CNM
• Megan Geno Dakhlian, PT, DPT, PCS
• Mariam Ali Dakka, DENTIST
• Paola Silvia Dal Cin, PH.D.
• Jacob Dal-Bianco, MD
• Akshay N Dalal, MBBS
• Anuj K Dalal, MD
• Elyse Dalal
• Jay Dalal

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.