Individual provider Active NPI

Shayan Kafri, DMD

  • Dentist
  • Boston, MA
National Provider Identifier
1740533074
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856150 Issued in MA
Practice address
35 Northampton St Apt 1409
Boston, MA 02118-4018
Phone
(310) 801-4479
NPI assigned
Oct 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856150 MA Primary

Addresses

Primary practice location

35 Northampton St Apt 1409
Boston, MA 02118-4018

Mailing address

35 Northampton St Apt 1409
Boston, MA 02118-4018
Phone (310) 801-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006001859 CA Order and Referring Only - DentistPractitioner - Dentist 6507154515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856150MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Skafri Dental Professional Corporation Current Accepting new patients

Organizations & group practices 1

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": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1740533074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NORTHAMPTON ST APT 1409",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184018",
            "telephone_number": "310-801-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NORTHAMPTON ST APT 1409",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184018",
            "telephone_number": "310-801-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFRI",
        "first_name": "SHAYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.