MD Ariful Islam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10000361 Issued in MA

Practice address

70 Westgate Dr
Brockton, MA 02301-1811

Phone

(347) 657-6937

NPI assigned

May 28, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1174363154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TREMONT ST APT 72",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166325",
            "telephone_number": "347-657-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011811",
            "telephone_number": "347-657-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MD",
        "middle_name": "ARIFUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Osamudiaimen Irorere, NURSE PRACTITIONER
• Diane Isaac
• Line Rose Isaac
• Margaret Isang
• Aki Ishida
• Raneem S. Islam, DO
• Emelda Iwobi, PMHNP-BC
• J Rako MD PC
• J W Podiatry PC
• Amanda K Jablonski, MA

• General Practice Dentistry in Brockton, MA
• Providers in Brockton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.