Nurulla Diyanat, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9556 Issued in MA

Practice address

1125 Tremont St
Roxbury Crossing, MA 02120-2178

Phone

(617) 989-3240

Fax

(617) 989-3247

NPI assigned

Dec 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  dba East Carolina University School of Dental Medicine

  • Dentist
  • Greenville, NC
  • NPI 1669750014
  NPD

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1275718926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TREMONT ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202178",
            "telephone_number": "617-989-3240",
            "fax_number": "617-989-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TREMONT ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202178",
            "telephone_number": "617-989-3240",
            "fax_number": "617-989-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIYANAT",
        "first_name": "NURULLA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "9556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Louise Daley, LICSW
• David H Kim, MD PC
• Susan Davidson, M.D.
• Bianca De Anda, DDS
• Jenna Christina Distasio, PA
• Elizabeth Donato
• Janice Gail Doren, PT
• Heather A Doris, MSPT
• Douglas Patch MD PC
• Charles Joseph Dow, M.D.

• Dentist in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.