Carlos Isava, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10647 Issued in MA

Practice address

250 Mount Vernon St
Dorchester, MA 02125-3120

Phone

(617) 788-1140

Fax

(617) 288-3910

NPI assigned

Dec 16, 2005

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

Locations

Interoperability endpoints

• Direct secure messaging: cisava322420@direct.ochin.org

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.

• Harbor Health Services Inc

  dba Geiger Gibson Community Health Center

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1659330496
  Medicare reassignment NPD
• Harbor Health Services, Inc.

  dba Harbor Community Health Center, Plymouth

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD
• Harbor Health Services, Inc

  dba Ellen Jones Community Dental Center

  • Dental Clinic/Center
  • South Dennis, MA
  • NPI 1881715332
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1093791592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MORTON ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262834",
            "telephone_number": "617-533-2300",
            "fax_number": "617-533-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MOUNT VERNON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253120",
            "telephone_number": "617-788-1140",
            "fax_number": "617-288-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAVA",
        "first_name": "CARLOS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adalgisa M Infante, DDS
• Joseph A Ingelfinger, MD
• Interim House Inc
• Kathy Ann Ireland, MS, RD, LDN
• Princess Irvin
• Tupac Frene Isme
• Jessica Elizabeth Isom, M.D.
• Nawar Issac, DDS
• Lyndon Jackson Jr.
• Nedra Denise Jackson, MSW

• Dentist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.