Organization Active NPI

New England Family Dental

  • General Practice Dentistry
  • Arlington, MA
National Provider Identifier
1083774079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19011 Issued in MA
Legal business name
NEW ENGLAND FAMILY DENTAL
Practice address
#63 Mass Ave
Arlington, MA 02474
Phone
(781) 646-7008
Fax
(781) 646-4123
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Morin F Montazeri, DMD
Title
Dentist
Phone
(781) 646-7008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19011 MA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19788 MA

Addresses

Primary practice location

#63 Mass Ave
Arlington, MA 02474

Mailing address

#34 Tyler Rd
Lexington, MA 02420
Phone (781) 862-6668

National Provider Directory

National Provider Directory

Locations

63 Massachusetts Ave
Arlington, MA 02474
Phone (781) 646-7008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083774079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#34 TYLER RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "781-862-6668",
            "fax_number": "781-646-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#63 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02474",
            "telephone_number": "781-646-7008",
            "fax_number": "781-646-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTAZERI",
        "authorized_official_first_name": "MORIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-646-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19011",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.