Individual provider Active NPI

Yael Frydman, D.M.D.

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1730214842
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
237195 Issued in MA
Practice address
141 Dorchester Ave Unit 115
Boston, MA 02127-1832
Phone
(617) 803-5498
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 237195 MA Primary

Addresses

Primary practice location

141 Dorchester Ave Unit 115
Boston, MA 02127-1832

Mailing address

141 Dorchester Ave Unit 115
Boston, MA 02127-1832
Phone (617) 803-5498

Other practice location 1

620 Main St
Woburn, MA 01801-2900
Phone (781) 935-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 6, 2017 through Nov 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
237195MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Lennon DDS Inc. General Practice Past Accepting new patients
Tufts Dental and Lennon Dental Group, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1730214842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DORCHESTER AVE UNIT 115",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271832",
            "telephone_number": "617-803-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DORCHESTER AVE UNIT 115",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271832",
            "telephone_number": "617-803-5498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Main St",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018012900",
            "country_code": "US",
            "telephone_number": "781-935-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYDMAN",
        "first_name": "YAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "237195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.