Individual provider Active NPI

Syed Hasan Mehdi Husaini, DMD

  • Dentist
  • Lawrence, MA
National Provider Identifier
1295101004
Registry record updated Aug 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857024 Issued in MA
Practice address
205 Broadway
Unit 8
Lawrence, MA 01840-1046
Phone
(732) 421-4371
NPI assigned
Aug 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857024 MA Primary

Addresses

Primary practice location

205 Broadway
Unit 8
Lawrence, MA 01840-1046

Mailing address

15 Harbor Point Blvd
Apt #403
Dorchester, MA 02125-3256
Phone (732) 421-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190226003242 NJ Order and Referring Only - DentistPractitioner - Dentist 6608115233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857024MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yourdentalist LLC Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439596800000",
    "number": "1295101004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HARBOR POINT BLVD",
            "address_2": "APT #403",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253256",
            "telephone_number": "732-421-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROADWAY",
            "address_2": "UNIT 8",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401046",
            "telephone_number": "732-421-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAINI",
        "first_name": "SYED HASAN",
        "middle_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.