Individual provider Active NPI

Frederick F Nafash, D.M.D

  • Periodontics
  • Quincy, MA
National Provider Identifier
1841441649
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN1856376 Issued in MA
Practice address
611 Adams St
Quincy, MA 02169-1319
Phone
(617) 479-9191
Fax
(617) 481-6635
NPI assigned
Oct 10, 2008
Last updated
May 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN1856376 MA Primary

Addresses

Primary practice location

611 Adams St
Quincy, MA 02169-1319

Mailing address

100 E Newton St
Boston, MA 02118-2308
Phone (617) 638-4762

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
I20150911000183 MA Order and Referring Only - DentistPractitioner - Dentist 1456668284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856376MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Frederick F. Nafash and Associates PLLC Current Accepting new patients

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1841441649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691319",
            "telephone_number": "617-479-9191",
            "fax_number": "617-481-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFASH",
        "first_name": "FREDERICK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1856376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.