Individual provider Active NPI

Fereydoun Haghkerdar, D.M.D.

  • General Practice Dentistry
  • Wellesley Hills, MA
National Provider Identifier
1023071578
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17787 Issued in MA
Practice address
1 Washington St
Suite 205
Wellesley Hills, MA 02481-1711
Phone
(781) 235-4321
Fax
(781) 235-9939
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17787 MA Primary
General Practice Dentistry 1223G0001X 3364 ME

Addresses

Primary practice location

1 Washington St
Suite 205
Wellesley Hills, MA 02481-1711

Mailing address

1 Washington St
Suite 205
Wellesley Hills, MA 02481-1711
Phone (781) 235-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20161116001509 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1355620204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17787MAMDGeneral Practice Dentistry
3364MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fereydoun Haghkerdar 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023071578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-235-4321",
            "fax_number": "781-235-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-235-4321",
            "fax_number": "781-235-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHKERDAR",
        "first_name": "FEREYDOUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17787",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.