Active NPI
Catherine J Moshirfar, DMD
- Periodontics
- Peabody, MA
National Provider Identifier
1831301449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 20618
- Practice address
- 504 Foxwood Cir
Peabody, MA 01960-4726 - Phone
- (617) 930-2289
- NPI assigned
- May 4, 2007
- Last updated
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 20618 | MA | Primary |
Addresses
Primary practice location
504 Foxwood Cir
Peabody, MA 01960-4726
Mailing address
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1122
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 |
|---|---|---|---|
| 20618 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1831301449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "617-421-1122",
"fax_number": "617-421-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 FOXWOOD CIR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604726",
"telephone_number": "617-930-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHIRFAR",
"first_name": "CATHERINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "20618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.