Individual provider Active NPI

Vivian Munir Binyameen

  • General Practice Dentistry
  • South Dennis, MA
National Provider Identifier
1306648142
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DL100720 Issued in MA
Practice address
516 Route 134
South Dennis, MA 02660-3451
Phone
(508) 778-5400
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 DL100720 MA Primary

Addresses

Primary practice location

516 Route 134
South Dennis, MA 02660-3451

Mailing address

50285 Murray Dr
Macomb, MI 48044-1338
Phone (586) 222-7194

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
I20250513002549 MA Practitioner - Dentist 6800314956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Services, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Harbor Health Services, Inc. CurrentSince Mar 17, 2025 Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

10 Cordage Park Cir
Ste 115
Plymouth, MA 02360
Phone (508) 778-5470

516 Route 134
Ste 12
South Dennis, MA 02660
Phone (508) 430-7710

Organizations & group practices 2

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": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1306648142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50285 MURRAY DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441338",
            "telephone_number": "586-222-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603451",
            "telephone_number": "508-778-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINYAMEEN",
        "first_name": "VIVIAN",
        "middle_name": "MUNIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL100720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

Verify at the official NPI Registry.