Active NPI
Kozeta Durishti
- General Practice Dentistry
- East Boston, MA
National Provider Identifier
1679273304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1859999
- Practice address
- 189 Chelsea St Apt 2
East Boston, MA 02128-4340 - Phone
- (351) 201-7858
- NPI assigned
- Mar 10, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1859999 | MA | Primary |
Addresses
Primary practice location
189 Chelsea St Apt 2
East Boston, MA 02128-4340
Mailing address
189 Chelsea St Apt 2
East Boston, MA 02128-4340
Phone (351) 201-7858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859999 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1679273304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 CHELSEA ST APT 2",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021284340",
"telephone_number": "351-201-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 CHELSEA ST APT 2",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021284340",
"telephone_number": "351-201-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURISHTI",
"first_name": "KOZETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1859999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Boston, MA
- Dr. Wanda Febo-Cuello, P.C.
- Thomas Draper, LMHC
- Rachel Dreitlein, LCSW
- Colleen Duddy, RDN
- Rebecca Durgin, LMHC
- Anne Dwyer-Wilmer, MD
- Sarah Elizabeth Dybizbanski
- East Boston Behavioral Health and Medicine LLC
- East Boston Chiropractic and Rehabilitation Clinic, Inc.
- East Boston Dental and Orthodontics PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.