Individual provider Active NPI

Igli Kasemi, DMD

  • Dentist
  • Gloucester, MA
National Provider Identifier
1235709726
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859539 Issued in MA
Practice address
501 Gloucester Crossing Rd
Gloucester, MA 01930-2289
Phone
(978) 675-2399
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859539 MA Primary
General Practice Dentistry 1223G0001X DEN4883 ME

Addresses

Primary practice location

501 Gloucester Crossing Rd
Gloucester, MA 01930-2289

Mailing address

711 Summer St
Weymouth, MA 02188-1134
Phone (857) 756-2733

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
DN1859539MAMDDentist
DEN4883MEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1235709726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SUMMER ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881134",
            "telephone_number": "857-756-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GLOUCESTER CROSSING RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302289",
            "telephone_number": "978-675-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEMI",
        "first_name": "IGLI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859539",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.