Organization Active NPI

Perla Pediatric Smiles

  • Pediatric Dentistry
  • Wellesley, MA
National Provider Identifier
1679376230
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PERLA PEDIATRIC SMILES
Practice address
70 Hastings St Ste 103
Wellesley, MA 02481-5439
Phone
(617) 420-1616
Fax
(617) 912-5603
NPI assigned
Mar 29, 2025
Last updated
Mar 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Authorized official

Name
Dr. Niloufar Moaziniya, DDS
Title
President
Phone
(857) 707-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

70 Hastings St Ste 103
Wellesley, MA 02481-5439

Mailing address

200 Estate Dr Apt 202
Chestnut Hill, MA 02467-3538
Phone (857) 707-7207

National Provider Directory

National Provider Directory

Locations

70 Hastings St
Ste 103
Wellesley, MA 02481
Phone (617) 420-1616

NPI Registry JSON

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1679376230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ESTATE DR APT 202",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673538",
            "telephone_number": "857-707-7207",
            "fax_number": "617-912-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST STE 103",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "617-420-1616",
            "fax_number": "617-912-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA PEDIATRIC SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "MOAZINIYA",
        "authorized_official_first_name": "NILOUFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-707-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.