Active NPI
Zahra Johar Mohamed Gulamhussein
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1548811839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1858524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858524 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Family Health Services, Inc | Current | Accepting new patients | |
| Coos County Family Health Services, Inc | Current | Accepting new patients | |
| Dental Dreams, LLC | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Berlin, NH
- NPI 1346242054
-
- Federally Qualified Health Center (FQHC)
- Colebrook, NH
- NPI 1659163434
-
- Dentist
- Roxbury, MA
- NPI 1225207517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.