Active NPI
Shaked Navat Pelli, D.M.D
- Dentist
- Cambridge, MA
National Provider Identifier
1154791937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DF11123
- Practice address
- 245 First St
Cambridge, MA 02142-1200 - Phone
- (617) 262-5200
- NPI assigned
- Oct 6, 2015
- 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 | DF11123 | MA | Primary |
Addresses
Primary practice location
245 First St
Cambridge, MA 02142-1200
Mailing address
245 First St
Cambridge, MA 02142-1200
Phone (617) 262-5200
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 |
|---|---|---|---|
| DF11123 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445731200000",
"number": "1154791937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FIRST ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421200",
"telephone_number": "617-262-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FIRST ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421200",
"telephone_number": "617-262-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVAT PELLI",
"first_name": "SHAKED",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DF11123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.