Jasmin Koleini, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN185848 Issued in MA

Practice address

11 Vinal St
Revere, MA 02151-5326

Phone

(781) 284-3113

NPI assigned

May 15, 2019

Last updated

Aug 4, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lynn Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Lynn, MA
  • NPI 1811045115
  NPD (past)
• New England Family Dentistry ,PC

  dba Children's Dentistry of Lynn

  • Point of Service
  • Lynn, MA
  • NPI 1316348113
  NPD (past)
• Revere Pediatric Dentistry

  • Pediatric Dentistry
  • Revere, MA
  • NPI 1912357336
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1528624574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FAN PIER BLVD UNIT 1610",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VINAL ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515326",
            "telephone_number": "781-284-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Main St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017022934",
            "country_code": "US",
            "telephone_number": "508-875-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1261 Furnace Brook Pkwy Ste 33",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021694762",
            "country_code": "US",
            "telephone_number": "781-664-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLEINI",
        "first_name": "JASMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN185848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Khafif, LCSW
• Lori Ruth Kholomyanskaya
• Alicia Kim, DMD
• Chaewon Kim
• Ryan Matthew Kirschner, DMD
• Prasanna Kommu
• James Paul Kraemer, RPH
• Lauren Kaitlin Kramer
• Julia Kuks, PHARMD
• Danielle Kurth, PTA

• Pediatric Dentistry in Revere, MA
• Providers in Revere, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.