Active NPI
Eman Jabarti
- Dentist
- Boston, MA
National Provider Identifier
1427411016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL 12777
- Practice address
- One Kneedland St,Boston
12TH Floor Prosthodontics Department
Boston, MA 02111 - Phone
- (617) 636-6639
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL 12777 | MA | Primary |
Addresses
Primary practice location
One Kneedland St,Boston
12TH Floor Prosthodontics Department
Boston, MA 02111
Mailing address
One Kneedland St,Boston, Ma 02111
12TH Floor Prosthodontics Department
Boston, MA 02111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL 12777 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1427411016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE KNEEDLAND ST,BOSTON, MA 02111",
"address_2": "12TH FLOOR PROSTHODONTICS DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE KNEEDLAND ST,BOSTON",
"address_2": "12TH FLOOR PROSTHODONTICS DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABARTI",
"first_name": "EMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL 12777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.