Individual provider Active NPI

Parisa Shokri Soltanabadi, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1851760029
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1857069 Issued in MA
Practice address
311 Commonwealth Ave Apt 10
Boston, MA 02115-1922
Phone
(617) 267-4777
Fax
(617) 267-1277
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1857069 MA Primary

Addresses

Primary practice location

311 Commonwealth Ave Apt 10
Boston, MA 02115-1922

Mailing address

311 Commonwealth Ave Apt 10
Boston, MA 02115-1922
Phone (617) 267-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180103001007 NY Practitioner - Oral Surgery 2062719842 Reassigns benefits to 1 organization
I20220606002457 MA Practitioner - DentistPractitioner - Maxillofacial Surgery 2062719842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Maxillofacial Surgery
Education
Boston Univ Goldman School of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Boston, MA 02115
Phone (617) 267-4777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059301NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parisa Shokri, DMD P.C. Oral and Maxillofacial Surgery CurrentSince Mar 1, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Oct 8, 2017 Accepting new patients
Mahmoud El Hadidy, DMD, PHD, PC CurrentSince Mar 1, 2022 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 8, 2017 Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Interoperability endpoints

  • Direct secure messaging: pshokrisoltanabadi47153@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1851760029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COMMONWEALTH AVE APT 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151922",
            "telephone_number": "617-267-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COMMONWEALTH AVE APT 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151922",
            "telephone_number": "617-267-4777",
            "fax_number": "617-267-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKRI SOLTANABADI",
        "first_name": "PARISA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1857069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.