Nilava Ghatak, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DL11637 Issued in MA

Practice address

100 E Newton St
Boston, MA 02118-2308

Phone

(617) 414-4837

NPI assigned

Oct 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1710238712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 TREMONT ST",
            "address_2": "APT # W407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181052",
            "telephone_number": "617-888-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-414-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATAK",
        "first_name": "NILAVA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DL11637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salwa Ghantous Sateriale, RN, MSN, OCN, FNP-BC
• Stacy Saliesha Ghany
• Shahnaz Gharib, D.M.D
• Mojgan Ghasemian, LICSW
• Bahram Ghassemi, DMD
• Raktim Ghatak, D.D.S.
• Naris Ghazarians, MD
• Sharmin Ghaznavi, MD, PHD
• Hamasat Gheddaf Dam, D.M.D
• Gregory Michael Gheewalla

• Pediatric Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.