Active NPI
Mohamed Al-Janabi, D.M.D
- Oral and Maxillofacial Surgery (Dentist)
- West Roxbury, MA
National Provider Identifier
1629324652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DL11624
- Practice address
- 250 Spring St
Apt 18
West Roxbury, MA 02132 - Phone
- (781) 999-4109
- NPI assigned
- Jul 27, 2012
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DL11624 | MA | Primary |
Addresses
Primary practice location
250 Spring St
Apt 18
West Roxbury, MA 02132
Mailing address
250 Spring St
West Roxbury, MA 02132-5000
Phone (781) 999-4109
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 |
|---|---|---|---|
| DL11624 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1629324652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SPRING ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021325000",
"telephone_number": "781-999-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SPRING ST",
"address_2": "APT 18",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "781-999-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-JANABI",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "DL11624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.