Individual provider Active NPI

Rochelle Roshawn Akradi, D.M.D.

  • General Practice Dentistry
  • Weymouth, MA
National Provider Identifier
1194132464
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1856650 Issued in MA
Practice address
126 Clinton Rd
Weymouth, MA 02189-3068
Phone
(651) 278-1902
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1856650 MA Primary

Addresses

Primary practice location

126 Clinton Rd
Weymouth, MA 02189-3068

Mailing address

126 Clinton Rd
Weymouth, MA 02189-3068
Phone (651) 278-1902

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
I20150630001795 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183936453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1856650MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Akradi Dental, LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1194132464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CLINTON RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893068",
            "telephone_number": "651-278-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CLINTON RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893068",
            "telephone_number": "651-278-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRADI",
        "first_name": "ROCHELLE",
        "middle_name": "ROSHAWN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1856650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.