Mohamed Kayali, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

21001 Issued in MA

Practice address

333 Ricciuti Dr
Apt. 2318
Quincy, MA 02169-6287

Phone

(617) 642-7265

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750479739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RICCIUTI DR",
            "address_2": "APT. 2318",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696287",
            "telephone_number": "617-642-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RICCIUTI DR",
            "address_2": "APT. 2318",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696287",
            "telephone_number": "617-642-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYALI",
        "first_name": "MOHAMED",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Cleary , OD. PC
• Katrina Shepard Licsw, LLC
• Kara Elizabeth Katz, LICSW
• Komalpreet Kaur
• Shelagh Miriam Kavanagh, DMD
• KBK Connections Inc
• KBK Connections, Inc.
• Canesa Kedaroe
• Mary R Keegan
• Alexis Keeley

• Endodontics in Quincy, MA
• Providers in Quincy, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.