Kevin Baradar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10000064 Issued in MA

Practice address

135 Boston Tpke
Shrewsbury, MA 01545-3603

Phone

(508) 425-3316

NPI assigned

Mar 6, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Happy Teeth Dental Care PC

  • Pediatric Dentistry
  • Shrewsbury, MA
  • NPI 1851691000
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1073213344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 HARRISON AVE UNIT 304",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183594",
            "telephone_number": "714-366-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453603",
            "telephone_number": "508-425-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARADAR",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-07-08",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Persiah Bakhtiari
• Rachel Greene Baldino, MSW
• Melody M Banasiak, NP
• Emma Banks, CCC-SLP
• Nataki Tricia Baptiste
• Alexis Mary Bardash
• Sharon Barrett
• Marisol Barry, LMT
• Sushma Kumari Basa, M.D.
• Durga B Bathini, M.D.

• General Practice Dentistry in Shrewsbury, MA
• Providers in Shrewsbury, 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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.