Individual provider Active NPI

Joke Alesh, DMD

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1447626668
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857019 Issued in MA
Practice address
376 Warren St
Boston, MA 02119-1830
Phone
(617) 445-2222
NPI assigned
Aug 12, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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 DN1857019 MA Primary

Addresses

Primary practice location

376 Warren St
Boston, MA 02119-1830

Mailing address

376 Warren St
Boston, MA 02119-1830
Phone (617) 445-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20180605001345 RI Order and Referring Only - DentistPractitioner - Dentist 3072878487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857019MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marigold Dental Studio LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1447626668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191830",
            "telephone_number": "617-445-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191830",
            "telephone_number": "617-445-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESH",
        "first_name": "JOKE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.