Nabil Suhil Zahka, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21559 Issued in MA

Practice address

3620 Mystic Valley Pkwy
Apt # 507
Medford, MA 02155-5758

Phone

(617) 913-0519

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295945038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 MYSTIC VALLEY PKWY",
            "address_2": "APT # 507",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555758",
            "telephone_number": "617-913-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 MYSTIC VALLEY PKWY",
            "address_2": "APT # 507",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555758",
            "telephone_number": "617-913-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHKA",
        "first_name": "NABIL",
        "middle_name": "SUHIL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213861",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candan Yorgancioglu, M.D.
• Emily Young
• Laurie Young
• Teresa Mary Zabik, M.D.
• Michael Baruch Zack, MD
• Zaki M Mukdissi DMD PC
• Silvana Maria Zambrano Almenara
• Jason Zanes, MHC
• Zenith Pain & Neurological Care PLLC
• Stephanie Zera

• General Practice Dentistry in Medford, MA
• Providers in Medford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.