Individual provider Active NPI

Shirin Dalili, D.M.D.

  • Dentist
  • Hingham, MA
National Provider Identifier
1467663237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19921 Issued in MA
Practice address
175 Derby St
Unit 34
Hingham, MA 02043-4007
Phone
(781) 741-8844
Fax
(781) 741-8806
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19921 MA Primary

Addresses

Primary practice location

175 Derby St
Unit 34
Hingham, MA 02043-4007

Mailing address

175 Derby St
Unit 34
Hingham, MA 02043-4007
Phone (781) 741-8844

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
I20160425001959 MA Order and Referring Only - DentistPractitioner - Dentist 3870892946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19921MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthysmiledentalllc Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467663237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DERBY ST",
            "address_2": "UNIT 34",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434007",
            "telephone_number": "781-741-8844",
            "fax_number": "781-741-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DERBY ST",
            "address_2": "UNIT 34",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434007",
            "telephone_number": "781-741-8844",
            "fax_number": "781-741-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALILI",
        "first_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.