Individual provider Active NPI

Mohamed-Jawad Shakarchi, DDS

  • General Practice Dentistry
  • Norwell, MA
National Provider Identifier
1528193349
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21304 Issued in MA
Practice address
6C Grove St
Norwell, MA 02061-1534
Phone
(508) 223-3900
NPI assigned
Feb 22, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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 21304 MA Primary

Addresses

Primary practice location

6C Grove St
Norwell, MA 02061-1534

Mailing address

55 Harbor View Park
Milton, MA 02186-5822
Phone (617) 696-2381

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
I20160225000884 MA Order and Referring Only - DentistPractitioner - Dentist 2567767700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21304MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1528193349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HARBOR VIEW PARK",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865822",
            "telephone_number": "617-696-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6C GROVE ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611534",
            "telephone_number": "508-223-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKARCHI",
        "first_name": "MOHAMED-JAWAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.