Active NPI
Ashkan Mobini, D.D.S.
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1730502691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1856444
- Practice address
- 850 Harrison Ave, Yawkey Care Center, Oral Surgery
Boston Medical Center, Oral Surgery
Boston, MA 02118 - Phone
- (978) 830-4610
- NPI assigned
- Jan 29, 2014
- Reactivated
- Sep 17, 2014
- Last updated
- Sep 17, 2014
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1856444 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave, Yawkey Care Center, Oral Surgery
Boston Medical Center, Oral Surgery
Boston, MA 02118
Mailing address
850 Harrison Ave, Yawkey Care Center, Oral Surgery Clin
Boston Medical Center, Oral Surgery
Boston, MA 02118
Phone (978) 830-4610
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 |
|---|---|---|---|
| DN1856444 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1730502691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARRISON AVE, YAWKEY CARE CENTER, ORAL SURGERY CLIN",
"address_2": "BOSTON MEDICAL CENTER, ORAL SURGERY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "978-830-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE, YAWKEY CARE CENTER, ORAL SURGERY",
"address_2": "BOSTON MEDICAL CENTER, ORAL SURGERY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "978-830-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBINI",
"first_name": "ASHKAN",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-29",
"last_updated": "2014-09-17",
"deactivation_date": "2014-09-02",
"reactivation_date": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1856444",
"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 Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.