Active NPI
Juliette S. Zahn, D.M.D., C.A.G.S.
- Prosthodontics
- Newton, MA
National Provider Identifier
1669702874
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 17288
- Practice address
- 825 Beacon St Ste 16
Newton Center
Newton, MA 02459-1834 - Phone
- (617) 332-2872
- Fax
- (617) 332-9446
- NPI assigned
- Jan 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17288 | MA | Primary |
Addresses
Primary practice location
825 Beacon St Ste 16
Newton Center
Newton, MA 02459-1834
Mailing address
825 Beacon Street
Suite 16, Newton Center
Newton, MA 02459-1834
Phone (617) 332-2872
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17288 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1669702874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 BEACON STREET",
"address_2": "SUITE 16, NEWTON CENTER",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591834",
"telephone_number": "617-332-2872",
"fax_number": "617-332-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 BEACON ST STE 16",
"address_2": "NEWTON CENTER",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591834",
"telephone_number": "617-332-2872",
"fax_number": "617-332-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHN",
"first_name": "JULIETTE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D., C.A.G.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "17288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.