Mediouni DMD PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

21104 Issued in MA

Legal business name

MEDIOUNI DMD PC

Practice address

1051 Beacon St
Brookline, MA 02446-5685

Phone

(617) 959-4429

NPI assigned

Aug 4, 2012

Organization subpart

No

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

Authorized official

Name

Zineb Mediouni, DMD

Title

Dentist

Phone

(617) 959-4429

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344038400000",
    "number": "1235486689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465685",
            "telephone_number": "617-959-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465685",
            "telephone_number": "617-959-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIOUNI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-08-04",
        "status": "A",
        "authorized_official_last_name": "MEDIOUNI",
        "authorized_official_first_name": "ZINEB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-959-4429",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "21104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle McRoberts
• Stacie Meacham, LMHC
• Cynthia Medeiros, LICSW
• Medi-Health Care, Inc
• Veronica A Medina
• Meeks & Zilberfarb Orthopedic Associates, P.C.
• Meeks & Zilberfarb Orthopedic Associates, P.C.
• Tera Meerkins
• Robert D Mehlman, M.D.
• John Meigs, PSYD, LADC I

• Prosthodontics in Brookline, MA
• Providers in Brookline, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.