Organization Active NPI

Newton Dental Group

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1164690707
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18682 Issued in MA
Legal business name
NEWTON DENTAL GROUP
Practice address
290 Centre St
Suite 201
Newton, MA 02458-1640
Phone
(617) 332-3100
Fax
(617) 332-5607
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. Shirin Shahriar, DDSNPI 1790708766
Title
President
Phone
(617) 332-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18682 MA Primary

Addresses

Primary practice location

290 Centre St
Suite 201
Newton, MA 02458-1640

Mailing address

290 Centre St
Suite 201
Newton, MA 02458-1640
Phone (617) 332-3100

National Provider Directory

National Provider Directory

Locations

290 Centre St
Ste 201
Newton, MA 02458
Phone (617) 332-3100

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": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1164690707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTRE ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581640",
            "telephone_number": "617-332-3100",
            "fax_number": "617-332-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTRE ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581640",
            "telephone_number": "617-332-3100",
            "fax_number": "617-332-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "SHAHRIAR",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-332-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.