Individual provider Active NPI

Hasti Sabbaghan, DMD

  • Dentist
  • Weymouth, MA
National Provider Identifier
1760939300
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857745 Issued in MA
Practice address
47 Washington St
Weymouth, MA 02188-1601
Phone
(781) 337-3300
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL 12987 MA
Dentist 122300000X DN1857745 MA Primary

Addresses

Primary practice location

47 Washington St
Weymouth, MA 02188-1601

Mailing address

580 Commonwealth Ave
Unit 1010
Boston, MA 02215
Phone (857) 540-9533

Other practice location 1

100 E Newton St
Boston, MA 02118-2308
Phone (617) 638-4636

Other practice location 2

5 Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone (978) 281-3772

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
DL 12987MAMDDentist
DN1857745MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760939300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COMMONWEALTH AVE",
            "address_2": "UNIT 1010",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "857-540-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881601",
            "telephone_number": "781-337-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Newton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "617-638-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Dr Osman Babson Rd",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019301812",
            "country_code": "US",
            "telephone_number": "978-281-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABBAGHAN",
        "first_name": "HASTI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL 12987",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.