Individual provider Active NPI

Jubin Zaboulian, D.M.D.

  • Dentist
  • Chelsea, MA
National Provider Identifier
1184000218
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856968 Issued in MA
Practice address
100 Everett Ave
#5
Chelsea, MA 02150-2309
Phone
(617) 884-4444
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856968 MA Primary

Addresses

Primary practice location

100 Everett Ave
#5
Chelsea, MA 02150-2309

Mailing address

66 Beach Point PL
Apt202
Dorchester, MA 02125-3567
Phone (617) 519-5889

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201201000340 MA Practitioner - DentistPractitioner - Oral Surgery 1456651819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856968MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1184000218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BEACH POINT PL",
            "address_2": "APT202",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253567",
            "telephone_number": "617-519-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE",
            "address_2": "#5",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-884-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABOULIAN",
        "first_name": "JUBIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.