Organization Active NPI

Arlington Dental Group

  • General Practice Dentistry
  • Arlington, MA
National Provider Identifier
1649422197
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19581 Issued in MA
Legal business name
ARLINGTON DENTAL GROUP
Practice address
22 Mill St
Suite 202
Arlington, MA 02476-4784
Phone
(781) 643-7788
Fax
(781) 646-2556
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Fariba Esbah, DMDNPI 1952466625
Title
President
Phone
(781) 643-7788

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 19581 MA Primary

Addresses

Primary practice location

22 Mill St
Suite 202
Arlington, MA 02476-4784

Mailing address

22 Mill St
Suite 202
Arlington, MA 02476-4784
Phone (781) 643-7788

National Provider Directory

National Provider Directory

Locations

22 Mill St
Ste 202
Arlington, MA 02476
Phone (781) 643-7788

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": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1649422197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-643-7788",
            "fax_number": "781-646-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-643-7788",
            "fax_number": "781-646-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "ESBAH",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-643-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.