Individual provider Active NPI

Jahan Richard Monirian, DMD

  • Dentist
  • Winthrop, MA
National Provider Identifier
1588095327
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856702 Issued in MA
Practice address
313 Main St
Winthrop, MA 02152-1964
Phone
(617) 846-1112
Fax
(617) 207-1192
NPI assigned
Dec 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2013042704 MO
Dentist 122300000X DN1856702 MA Primary

Addresses

Primary practice location

313 Main St
Winthrop, MA 02152-1964

Mailing address

313 Main St
Winthrop, MA 02152-1964
Phone (617) 846-1112

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
I20160205000712 MA Order and Referring Only - DentistPractitioner - Dentist 0244534675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856702MAMDDentist
2013042704MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthetic Associates PC General Practice Current Accepting new patients
Jahan Monirian PC CurrentSince Feb 18, 2024 Accepting new patients
Fatima H Maarouf, DDS, PLLC Dentist PastSince Feb 18, 2024 Accepting new patients

Locations

313 Main St
Winthrop, MA 02152
Phone (617) 846-1112

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1588095327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521964",
            "telephone_number": "617-846-1112",
            "fax_number": "617-207-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521964",
            "telephone_number": "617-846-1112",
            "fax_number": "617-207-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIRIAN",
        "first_name": "JAHAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2013042704",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

Verify at the official NPI Registry.