Organization Active NPI

Zhaleh J. Hami,DMD&Bahram Ghassemi Tary,D.M.D.,P.C.

  • Pediatric Dentistry
  • West Roxbury, MA
National Provider Identifier
1699982645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ZHALEH J. HAMI,DMD&BAHRAM GHASSEMI TARY,D.M.D.,P.C.
Practice address
1765 Centre St
West Roxbury, MA 02132-1535
Phone
(617) 327-4321
Fax
(617) 325-1720
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Zhaleh Jolle Hami, D.M.D.
Title
President
Phone
(617) 327-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1765 Centre St
West Roxbury, MA 02132-1535

Mailing address

1765 Centre St
West Roxbury, MA 02132-1535
Phone (617) 327-4321

Other identifiers 1

IdentifierTypeStateIssuer
0271462MedicaidMA

Other names 1

  • West Roxbury Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1765 Centre St
West Roxbury, MA 02132
Phone (617) 327-4321

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699982645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321535",
            "telephone_number": "617-327-4321",
            "fax_number": "617-325-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321535",
            "telephone_number": "617-327-4321",
            "fax_number": "617-325-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHALEH J. HAMI,DMD&BAHRAM GHASSEMI TARY,D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMI",
        "authorized_official_first_name": "ZHALEH",
        "authorized_official_middle_name": "JOLLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-327-4321",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271462",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Roxbury Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Roxbury, MA

Sources for this page

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

Verify at the official NPI Registry.