Active NPI
Firas Albadran, DDS
- Dentist
- Boston, MA
National Provider Identifier
1740678341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12182
- Practice address
- 632 Blue Hill Ave
Harvard Street Neighborhood Health Center, Inc.
Boston, MA 02121-3213 - Phone
- (617) 825-3400
- Fax
- (617) 825-4177
- NPI assigned
- Jan 5, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12182 | MA | Primary |
Addresses
Primary practice location
632 Blue Hill Ave
Harvard Street Neighborhood Health Center, Inc.
Boston, MA 02121-3213
Mailing address
632 Blue Hill Ave
Harvard Street Neighborhood Health Center, Inc.
Boston, MA 02121-3213
Phone (617) 825-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629002616 | VA | Practitioner - Dentist | 2163844671 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12182 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1740678341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 BLUE HILL AVE",
"address_2": "HARVARD STREET NEIGHBORHOOD HEALTH CENTER, INC.",
"city": "BOSTON",
"state": "MA",
"postal_code": "021213213",
"telephone_number": "617-825-3400",
"fax_number": "617-825-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 BLUE HILL AVE",
"address_2": "HARVARD STREET NEIGHBORHOOD HEALTH CENTER, INC.",
"city": "BOSTON",
"state": "MA",
"postal_code": "021213213",
"telephone_number": "617-825-3400",
"fax_number": "617-825-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBADRAN",
"first_name": "FIRAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "12182",
"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 Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.