Active NPI
Marhama Alvi Shah, D.M.D
- Dentist
- Somerville, MA
National Provider Identifier
1104076157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22191
- Practice address
- 124 College Ave
Somerville, MA 02144-1919 - Phone
- (617) 625-0543
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- 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 | 22191 | MA | Primary |
Addresses
Primary practice location
124 College Ave
Somerville, MA 02144-1919
Mailing address
660 Washington St Apt 16K
Boston, MA 02111-3228
Phone (781) 698-7245
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 |
|---|---|---|---|
| 22191 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1104076157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WASHINGTON ST APT 16K",
"city": "BOSTON",
"state": "MA",
"postal_code": "021113228",
"telephone_number": "781-698-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 COLLEGE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441919",
"telephone_number": "617-625-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MARHAMA",
"middle_name": "ALVI",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "22191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.