Hamidreza Fakhri

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856700 Issued in MA

Practice address

1255 Hancock St
Quincy, MA 02169-4342

Phone

(617) 773-4144

NPI assigned

Sep 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dental Dreams, LLC

  • General Practice Dentistry
  • New Bedford, MA
  • NPI 1942447289
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528468972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GREENLEAF ST APT 9",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-773-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021694342",
            "country_code": "US",
            "telephone_number": "617-773-4144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027454949",
            "country_code": "US",
            "telephone_number": "508-995-0340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027454949",
            "country_code": "US",
            "telephone_number": "508-995-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKHRI",
        "first_name": "HAMIDREZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Chao Faber
• Nicole Fachetti
• Facilitated Healing Ctr LLC
• George Fahey, LICSW
• Tara Lynn Fahey
• Alana Falco, PT, DPT
• Falling Up Therapy Services
• Fallon Emergency Medical Services, Inc.
• Fallon Service, Inc.
• Family Practice of Chiropractic, PC

• Dentist in Quincy, MA
• Providers in Quincy, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.