Active NPI
Burlington Childrens Dental
- Pediatric Dentistry
- Burlington, MA
National Provider Identifier
1669687166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- BURLINGTON CHILDRENS DENTAL
- Practice address
- 131 Cambridge St Ste 1
Burlington, MA 01803-3711 - Phone
- (781) 229-2220
- Fax
- (781) 229-0258
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morteza Yazdi, D.M.D
- Title
- Dentist
- Phone
- (781) 229-2220
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
131 Cambridge St Ste 1
Burlington, MA 01803-3711
Mailing address
30 Chesnut Ave
Suite 1
Burlington, MA 01803-1607
Phone (781) 229-2220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0297828 | Other | MA | MASS HEALTH |
| 110011979B | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Burlington, MA
- NPI 1477563682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1669687166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CHESNUT AVE",
"address_2": "SUITE 1",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031607",
"telephone_number": "781-229-2220",
"fax_number": "781-229-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 CAMBRIDGE ST STE 1",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033711",
"telephone_number": "781-229-2220",
"fax_number": "781-229-0258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURLINGTON CHILDRENS DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "YAZDI",
"authorized_official_first_name": "MORTEZA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "781-229-2220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0297828",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110011979B",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.