Individual provider Active NPI

Helga Idrizi

  • Dentist
  • Somerville, MA
National Provider Identifier
1205380953
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857391 Issued in MA
Practice address
396 Highland Ave
Somerville, MA 02144-2512
Phone
(617) 776-2323
NPI assigned
Aug 11, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857391 MA Primary

Addresses

Primary practice location

396 Highland Ave
Somerville, MA 02144-2512

Mailing address

396 Highland Ave
Somerville, MA 02144-2512
Phone (617) 776-2323

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

LicenseStateTypeSpecialty
DN1857391MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Helga Idrizi DMD LLC CurrentSince Jan 26, 2022 Accepting new patients
Ramesh Izedian DMD, Shahram Moghaddam DMD, Paul Dobrin DMD, PC Past Accepting new patients

Locations

36 Long Pond Rd
Plymouth, MA 02360
Phone (508) 746-7900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1205380953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 HIGHLAND AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442512",
            "telephone_number": "617-776-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 HIGHLAND AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442512",
            "telephone_number": "617-776-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRIZI",
        "first_name": "HELGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.