Active NPI
Abdullatif Aldousari, DDS
- Dentist
- Boston, MA
National Provider Identifier
1700510492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417950
- Practice address
- 100 E Newton St # G-02
Boston, MA 02118-3552 - Phone
- (609) 271-5213
- NPI assigned
- Jul 11, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401417950 | VA | Primary |
Addresses
Primary practice location
100 E Newton St # G-02
Boston, MA 02118-3552
Mailing address
100 E Newton St # G-02
Boston, MA 02118-3552
Phone (617) 358-4916
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 |
|---|---|---|---|
| 0401417950 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782604800000",
"number": "1700510492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E NEWTON ST # G-02",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183552",
"telephone_number": "617-358-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E NEWTON ST # G-02",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183552",
"telephone_number": "609-271-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDOUSARI",
"first_name": "ABDULLATIF",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2026-06-28",
"certification_date": "2026-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.