Active NPI
Vida Dental and Spa
- General Practice Dentistry
- Brookline, MA
National Provider Identifier
1396684429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- VIDA DENTAL AND SPA
- Practice address
- 1051 Beacon St Ste 514
Brookline, MA 02446-5622 - Phone
- (617) 383-5275
- NPI assigned
- Mar 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamand Shaibani, DMD
- Title
- Owner
- Phone
- (617) 501-8885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1051 Beacon St Ste 514
Brookline, MA 02446-5622
Mailing address
1051 Beacon St Ste 514
Brookline, MA 02446-5622
Phone (617) 383-5275
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Burlington, MA
- NPI 1134251622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1396684429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 BEACON ST STE 514",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465622",
"telephone_number": "617-383-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 BEACON ST STE 514",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465622",
"telephone_number": "617-383-5275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDA DENTAL AND SPA",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-25",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "SHAIBANI",
"authorized_official_first_name": "KAMAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-501-8885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.