Irfan L Dasti, DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19552 Issued in MA

Practice address

394 Elm St
Gardner, MA 01440-3926

Phone

(978) 632-7870

Fax

(978) 630-2601

NPI assigned

Jan 25, 2007

Sex

Male

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Irfan Dasti DMD,PC

  • General Practice Dentistry
  • Gardner, MA
  • NPI 1619181450
  NPD (past) Authorized official
• Joseph E O'Brien DMD PC

  • General Practice Dentistry
  • Gardner, MA
  • NPI 1689814410
  NPD (past)
• Sambath Keo, DMD, Inc

  • General Practice Dentistry
  • Lowell, MA
  • NPI 1366614174
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454716800000",
    "number": "1033264163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WOOD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511519",
            "telephone_number": "978-441-9991",
            "fax_number": "978-441-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403926",
            "telephone_number": "978-632-7870",
            "fax_number": "978-630-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTI",
        "first_name": "IRFAN",
        "middle_name": "L",
        "credential": "DMD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M. Damour, M.D.
• Kendra Danby
• Lisa Jean Daniel, BS
• Lisa Fallon Daniels
• Sheila G Dansky, LICSW
• Donna Daunais
• David C. Flemming MD PLLC
• Karen Davidson
• Jeffrey Davis, M.D.
• Leah Maude Davis

• General Practice Dentistry in Gardner, MA
• Providers in Gardner, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.