NPIMap

Organization Active NPI

First Dental, PC

  • Dental Clinic/Center
  • Medford, MA
National Provider Identifier
1801074000
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21444 Issued in MA
Legal business name
FIRST DENTAL, PC
Practice address
366 Salem St
Medford, MA 02155-3307
Phone
(781) 395-0300
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Farshad Ghobbeh
Title
President
Phone
(617) 388-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21444 MA Primary

Addresses

Primary practice location

366 Salem St
Medford, MA 02155-3307

Mailing address

366 Salem St
Medford, MA 02155-3307
Phone (781) 395-0300

National Provider Directory

National Provider Directory

Locations

366 Salem St
Medford, MA 02155
Phone (781) 395-0300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1801074000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SALEM ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553307",
            "telephone_number": "781-395-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SALEM ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553307",
            "telephone_number": "781-395-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "GHOBBEH",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-388-7727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.