Individual provider Active NPI

Walid J Dehni, DMD

  • Prosthodontics
  • Lynnfield, MA
National Provider Identifier
1841213113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18554 Issued in MA
Practice address
50 Salem St
BLD a
Lynnfield, MA 01940-2622
Phone
(781) 246-2211
Fax
(781) 246-5566
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 18554 MA Primary

Addresses

Primary practice location

50 Salem St
BLD a
Lynnfield, MA 01940-2622

Mailing address

50 Salem St
BLD a
Lynnfield, MA 01940-2622
Phone (781) 246-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202000152 MA Order and Referring Only - DentistPractitioner - Dentist 8921308677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18554MAMDProsthodontist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841213113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SALEM ST",
            "address_2": "BLD A",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402622",
            "telephone_number": "781-246-2211",
            "fax_number": "781-246-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SALEM ST",
            "address_2": "BLD A",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402622",
            "telephone_number": "781-246-2211",
            "fax_number": "781-246-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNI",
        "first_name": "WALID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

Verify at the official NPI Registry.