Khaled Moataz El Rafie, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN1856397 Issued in MA

Practice address

1203 Beacon St
Suite 1
Brookline, MA 02446-5325

Phone

(617) 232-8113

Fax

(617) 232-1795

NPI assigned

Dec 6, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Brookline Progressive Dental Team P.C.

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1891059036
  NPD (past)
• Dental Specialties of Brookline

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1316200363
  NPD (past)

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1649601311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 BEACON ST",
            "address_2": "SUITE 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465325",
            "telephone_number": "617-232-8113",
            "fax_number": "617-232-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 BEACON ST",
            "address_2": "SUITE 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465325",
            "telephone_number": "617-232-8113",
            "fax_number": "617-232-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL RAFIE",
        "first_name": "KHALED",
        "middle_name": "MOATAZ",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1856397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ehrlich
• Pamela Jean Eikelberg, MS, OTR/L
• Ahmed El Sayed Eissa Garces, MD
• Noam Eitan, PT
• Sara Elaine Eivers, LMT
• Amro El-Sinawi, DMD
• Sharon Eldar, PHD
• Elder Achievers LLC
• Natalie S. Eldridge, PH.D.
• Elite Dental, Inc.

• Prosthodontics in Brookline, MA
• Providers in Brookline, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.