Individual provider Active NPI

Albert Joseph Zebouni

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1790506012
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN10001059 Issued in MA
Practice address
460 Harrison Ave Unit 227C
Boston, MA 02118-2874
Phone
(617) 595-3600
NPI assigned
Oct 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN10001059 MA Primary

Addresses

Primary practice location

460 Harrison Ave Unit 227C
Boston, MA 02118-2874

Mailing address

460 Harrison Ave Unit 227C
Boston, MA 02118-2874
Phone (617) 595-3600

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
DN10001059MAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Group Practice PLLC Prosthodontics CurrentSince Oct 5, 2025 Accepting new patients

Locations

460 Harrison Ave
Unit 227C
Boston, MA 02118
Phone (617) 595-3600

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": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1790506012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HARRISON AVE UNIT 227C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182874",
            "telephone_number": "617-595-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HARRISON AVE UNIT 227C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182874",
            "telephone_number": "617-595-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBOUNI",
        "first_name": "ALBERT",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-19",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN10001059",
            "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 Oct 17, 2025; 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.