NPIMap

Organization Active NPI

Irfan Dasti DMD,PC

  • General Practice Dentistry
  • Gardner, MA
National Provider Identifier
1619181450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19552 Issued in MA
Legal business name
IRFAN DASTI DMD,PC
Practice address
394 Elm St
Gardner, MA 01440-3926
Phone
(978) 632-7870
Fax
(978) 630-2601
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irfan L Dasti, DMD,PCNPI 1033264163
Title
President
Phone
(978) 632-7870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19552 MA Primary

Addresses

Primary practice location

394 Elm St
Gardner, MA 01440-3926

Mailing address

394 Elm St
Gardner, MA 01440-3926
Phone (978) 632-7870

National Provider Directory

National Provider Directory

Locations

394 Elm St
Gardner, MA 01440
Phone (978) 632-7870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619181450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403926",
            "telephone_number": "978-632-7870",
            "fax_number": "978-630-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403926",
            "telephone_number": "978-632-7870",
            "fax_number": "978-630-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRFAN DASTI DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DASTI",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-632-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.