Individual provider Active NPI

Zahra Johar Mohamed Gulamhussein

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1548811839
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858524 Issued in MA
Practice address
3033 Washington St
Boston, MA 02119-1227
Phone
(617) 541-2200
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN1858524 MA Primary

Addresses

Primary practice location

3033 Washington St
Boston, MA 02119-1227

Mailing address

26 Worcester St Apt 202
Boston, MA 02118-3376
Phone (424) 386-8815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20201130001681 NH Practitioner - Dentist 7719398585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858524MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coos County Family Health Services, Inc CurrentSince Oct 1, 2020 Accepting new patients
Coos County Family Health Services, Inc CurrentSince Oct 1, 2020 Accepting new patients
Dental Dreams, LLC PastSince Sep 29, 2019 Accepting new patients

Locations

133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040

Organizations & group practices 3

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1548811839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WORCESTER ST APT 202",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183376",
            "telephone_number": "424-386-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191227",
            "telephone_number": "617-541-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULAMHUSSEIN",
        "first_name": "ZAHRA",
        "middle_name": "JOHAR MOHAMED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.