Individual provider Active NPI

Faridoon Zamani, D.M.D., D.D.S.

  • General Practice Dentistry
  • Wellesley Hills, MA
National Provider Identifier
1275762890
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17338 Issued in MA
Practice address
310 Washington St Ste 208
Wellesley Hills, MA 02481-4949
Phone
(617) 277-2666
Fax
(617) 278-9880
NPI assigned
Jul 2, 2009
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 17338 MA Primary

Addresses

Primary practice location

310 Washington St Ste 208
Wellesley Hills, MA 02481-4949

Mailing address

310 Washington St Ste 208
Wellesley Hills, MA 02481-4949
Phone (617) 277-2666

Other identifiers 1

IdentifierTypeStateIssuer
0200701MedicaidMA

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
I20150811003819 MA Order and Referring Only - DentistPractitioner - Dentist 8729393483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17338MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Faridoon Zamani, D.M.D., P.C. Current Accepting new patients

Locations

209 Harvard St
Ste 400
Brookline, MA 02446
Phone (425) 221-4341

310 Washington St
Ste 208
Wellesley Hills, MA 02481
Phone (617) 277-2666

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, 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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1275762890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON ST STE 208",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024814949",
            "telephone_number": "617-277-2666",
            "fax_number": "617-278-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON ST STE 208",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024814949",
            "telephone_number": "617-277-2666",
            "fax_number": "617-278-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMANI",
        "first_name": "FARIDOON",
        "name_prefix": "Dr.",
        "credential": "D.M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200701",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.