Active NPI
Fatema N Alrayes
- Periodontics
- Boston, MA
National Provider Identifier
1801047238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10401
- Practice address
- 1 Kneeland Street
Tufts University - School of Dental Medicine
Boston, MA 02111 - Phone
- (617) 636-6531
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10401 | MA | Primary |
Addresses
Primary practice location
1 Kneeland Street
Tufts University - School of Dental Medicine
Boston, MA 02111
Mailing address
790 Boylston Street, Apt 8K
Boston, MA 02199
Phone (857) 928-7746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10401 | Other | MA | THE COMMONWEALTH OF MASSACHUSETTS- BOARD OF DENTAL EXAMINERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10401 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1801047238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 BOYLSTON STREET, APT 8K",
"city": "BOSTON",
"state": "MA",
"postal_code": "02199",
"telephone_number": "857-928-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND STREET",
"address_2": "TUFTS UNIVERSITY - SCHOOL OF DENTAL MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALRAYES",
"first_name": "FATEMA",
"middle_name": "N",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "10401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE COMMONWEALTH OF MASSACHUSETTS- BOARD OF DENTAL EXAMINERS",
"identifier": "10401",
"state": "MA"
}
],
"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 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.