Active NPI
Parisa Shokri Soltanabadi, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Boston, MA
National Provider Identifier
1851760029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN1857069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 059301 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parisa Shokri, DMD P.C. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Mahmoud El Hadidy, DMD, PHD, PC | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | 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
- 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Boston, MA
- NPI 1265182281
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Oral and Maxillofacial Surgery Clinic/Center
- Boston, MA
- NPI 1265568174
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.