Active NPI
Cameron Shahbazian, DMD
- Dentist
- Quincy, MA
National Provider Identifier
1033528195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1856557
- Practice address
- 157 Washington St
Quincy, MA 02169-5514 - Phone
- (617) 320-0859
- NPI assigned
- Aug 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856557 | MA | Primary |
Addresses
Primary practice location
157 Washington St
Quincy, MA 02169-5514
Mailing address
157 Washington St
Quincy, MA 02169-5514
Phone (617) 320-0859
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 |
|---|---|---|---|
| DN1856557 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407024000000",
"number": "1033528195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 WASHINGTON ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695514",
"telephone_number": "617-320-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 WASHINGTON ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695514",
"telephone_number": "617-320-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHBAZIAN",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-03",
"last_updated": "2014-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.