Organization Active NPI

Salome Farzaneh D.M.D.

  • General Practice Dentistry
  • Waltham, MA
National Provider Identifier
1649465543
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SALOME FARZANEH D.M.D.
Practice address
212 Charles St
Waltham, MA 02453-4206
Phone
(178) 189-4442
Fax
(781) 893-6261
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Ms. Caroline T Dumas
Title
Receptionist
Phone
(781) 894-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

212 Charles St
Waltham, MA 02453-4206

Mailing address

212 Charles St
Waltham, MA 02453-4206
Phone (178) 189-4442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1649465543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CHARLES ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534206",
            "telephone_number": "178-189-4442",
            "fax_number": "781-893-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CHARLES ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534206",
            "telephone_number": "178-189-4442",
            "fax_number": "781-893-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALOME FARZANEH D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "781-894-4424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.