Active NPI
Daniel Nayebi, DMD
- Dentist
- Northborough, MA
National Provider Identifier
1609482413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1858806
- Practice address
- 29 South St
Northborough, MA 01532-2603 - Phone
- (508) 393-7495
- NPI assigned
- Sep 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1858806 | MA | Primary |
Addresses
Primary practice location
29 South St
Northborough, MA 01532-2603
Mailing address
15 Glenville Ave
Allston, MA 02134-3533
Phone (774) 364-0045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1858806 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1609482413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GLENVILLE AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021343533",
"telephone_number": "774-364-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 SOUTH ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322603",
"telephone_number": "508-393-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYEBI",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "1858806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.