Individual provider Active NPI

Ashkan Mobini, D.D.S.

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1730502691
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856444 Issued in MA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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 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

LicenseStateTypeSpecialty
DN1856444MAMDGeneral 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.

Verify at the official NPI Registry.