Individual provider Active NPI

Emina Zaganjori, DMD

  • Endodontics
  • Wellesley, MA
National Provider Identifier
1851453450
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20238 Issued in MA
Practice address
1 Washington St
Suite 103
Wellesley, MA 02481-1711
Phone
(781) 235-5700
Fax
(781) 235-7901
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 20238 MA Primary

Addresses

Primary practice location

1 Washington St
Suite 103
Wellesley, MA 02481-1711

Mailing address

1 Washington St
Suite 103
Wellesley, MA 02481-1711
Phone (781) 235-5700

Other names 1

  • Emina Zaganjori Kelley Professional name

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
I20160709000005 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022316926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20238MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Limited to Endodontics, Inc. Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1851453450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-235-5700",
            "fax_number": "781-235-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-235-5700",
            "fax_number": "781-235-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGANJORI",
        "first_name": "EMINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMINA",
            "last_name": "KELLEY",
            "middle_name": "ZAGANJORI",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.