Diba Dastjerdi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21835 Issued in MA

Practice address

68 New Edgerly Road
Boston, MA 02115

Phone

(617) 262-5880

Fax

(617) 859-8804

NPI assigned

Jun 19, 2007

Last updated

Apr 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diba Dastajerdi DMD PC

  dba Carr & Associates

  • Dentist
  • Boston, MA
  • NPI 1952703480
  NPD (past)
• Richard D Carr DDS

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1124173612
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1629273776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 NEW EDGERLY ROAD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-262-5880",
            "fax_number": "617-859-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 NEW EDGERLY ROAD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-262-5880",
            "fax_number": "617-859-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTJERDI",
        "first_name": "DIBA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dasilva
• Despoina Daskalaki, M.D
• Elizabeth Presti Daskalakis, PMHNP-BC
• Nikolas Daskalakis, DO
• Gabrielle Daso
• Gandhar Kiran Datar
• Radhika S Datar, MD
• Indranil Datta
• Siddhant Datta
• Lillian Winifred Dattilo, MD

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.

Verify at the official NPI Registry.