Individual provider Active NPI

Svetlana Konfino, D.M.D.

  • Dentist
  • Allston, MA
National Provider Identifier
1336424951
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855727 Issued in MA
Practice address
287 Western Ave
Allston, MA 02134-1010
Phone
(781) 864-3275
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855727 MA Primary

Addresses

Primary practice location

287 Western Ave
Allston, MA 02134-1010

Mailing address

32 Bryon Rd Apt 4
Chestnut Hill, MA 02467-3336
Phone (781) 864-3275

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
I20160415000740 MA Order and Referring Only - DentistPractitioner - Dentist 0345548962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855727MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1336424951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BRYON RD APT 4",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673336",
            "telephone_number": "781-864-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 WESTERN AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341010",
            "telephone_number": "781-864-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONFINO",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

Verify at the official NPI Registry.