Giti Ghavamzadeh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12764 Issued in MA

Practice address

332 Washington St
Suite 365
Wellesley Hills, MA 02481-6219

Phone

(781) 235-1900

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Best Dental of Wellesley

  dba Dr Giti Ghavamzadeh

  • Dental Clinic/Center
  • Wellesley, MA
  • NPI 1871734442
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841327079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 365",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-235-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 365",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-235-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAVAMZADEH",
        "first_name": "GITI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256706",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Williams Frieling, M.D.
• Elvira L Fulchino, MS.OTR/L
• Paul David Gaither, MD
• Lori M Gara-Matthews, M.D.
• Neha Garge, DMD
• Ilyse L. Ginberg-Nielsen, PSY.D
• Daniel Ian Gittins Stone, PHD
• Betsy Susan Glaser, PH.D.
• Rebecca Glover, M.S. CCC-SLP
• Stephanie Godbout, MS, CCC, SLP

• General Practice Dentistry in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.