Individual provider Active NPI

David Salibian, DMD

  • General Practice Dentistry
  • Belmont, MA
National Provider Identifier
1760561906
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20374 Issued in MA
Practice address
333 Trapelo Road
Belmont, MA 02478-1856
Phone
(617) 484-7869
Fax
(617) 484-7870
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 20374 MA Primary

Addresses

Primary practice location

333 Trapelo Road
Belmont, MA 02478-1856

Mailing address

333 Trapelo Rd
Belmont, MA 02478-1856
Phone (781) 367-2040

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160114002182 MA Order and Referring Only - DentistPractitioner - Dentist 4183927726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyesmile PastSince Aug 23, 2020 Accepting new patients
Waverley Dental Care General Practice Past Accepting new patients

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1760561906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781856",
            "telephone_number": "781-367-2040",
            "fax_number": "617-484-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TRAPELO ROAD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781856",
            "telephone_number": "617-484-7869",
            "fax_number": "617-484-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIBIAN",
        "first_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.