Active NPI
Fereydoun Haghkerdar, D.M.D.
- General Practice Dentistry
- Wellesley Hills, MA
National Provider Identifier
1023071578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17787
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116001509 | MA | Order and Referring Only - Other (Physician) | 1355620204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17787 | MA | MD | General Practice Dentistry |
| 3364 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Wellesley Hills, MA
- NPI 1831600337
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
- Betsy Susan Glaser, PH.D.
- Rebecca Glover, M.S. CCC-SLP
- Stephanie Godbout, MS, CCC, SLP
- Guralnick, Rosenberg & Stempien, Inc.
- Wendy Ann Haering, PA-C
- Hands and Hearts Hospice Corporation
- Jacqueline Elizabeth Hapenny, PSYD
- Daniel Ryan Harper-Schufft, L.AC.
- Andrea F Hartnett, LICSW
- Brian Heilferty, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.