Active NPI
Zinah Ismael
- Dentist
- Boston, MA
National Provider Identifier
1629809082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL100335
- Practice address
- 635 Albany St
Boston, MA 02118-3550 - Phone
- (617) 358-8300
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 | DL100335 | MA | Primary |
Addresses
Primary practice location
635 Albany St
Boston, MA 02118-3550
Mailing address
534 Beacon St Apt 1006
Boston, MA 02215-2391
Other practice location 1
1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8000
Other practice location 2
7000 Great Meadow Rd
Dedham, MA 02026-4090
Phone (781) 234-9500
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 |
|---|---|---|---|
| DL100335 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1629809082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 BEACON ST APT 1006",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183550",
"telephone_number": "617-358-8300"
}
],
"practiceLocations": [
{
"address_1": "1200 Centre St",
"address_purpose": "LOCATION",
"city": "Roslindale",
"state": "MA",
"postal_code": "021311000",
"country_code": "US",
"telephone_number": "617-363-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7000 Great Meadow Rd",
"address_purpose": "LOCATION",
"city": "Dedham",
"state": "MA",
"postal_code": "020264090",
"country_code": "US",
"telephone_number": "781-234-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISMAEL",
"first_name": "ZINAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL100335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.