Nikoo Habibnia, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857593 Issued in MA

Practice address

725 Massachusetts Ave
Arlington, MA 02476-4902

Phone

(781) 643-0010

NPI assigned

Jul 11, 2017

Sex

Female

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

Practice roles

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.

• 42 North Dental Care, LLC

  dba Gentle Dental Arlington

  • Dental Clinic/Center
  • Arlington, MA
  • NPI 1114296977
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1144742297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COMMONWEALTH AVE UNIT 108",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152515",
            "telephone_number": "857-234-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764902",
            "telephone_number": "781-643-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBNIA",
        "first_name": "NIKOO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Sammy Gueffaf, PHARMD, RPH
• Katell Guellec, LICSW
• Martha E Guimond, NP
• Elizabeth Gultom
• Gary Gurka, MD
• Kimberly Hackettl.M.H.C., L.M.H.C.
• Katherine Alison Hadden, LICSW
• Erin Lee Haggerty, OTR/L
• Caitlin Haines, RD CNSC
• Emily Alden Hamilton, MA, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.