Dan Faibish, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858831 Issued in MA

Practice address

81 School St
Brookline, MA 02446-6201

Phone

(617) 731-2329

NPI assigned

Sep 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Locations

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.

• Brookline Family Dentistry

  • General Practice Dentistry
  • Brookline, MA
  • NPI 1235848706
  NPD Authorized official

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1851908180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WILLOW ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702013",
            "telephone_number": "617-960-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SCHOOL ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466201",
            "telephone_number": "617-731-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIBISH",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Reina Estrada
• Craig F. Evans, MSW
• Bruce M Ewenstein, M.D.
• Eye MDS of Greater Boston, PC
• Kurt Charles Fabrick, M.D., M.P.H.
• Marcel Fajnzylber, ED.D.
• Jamilah Fallatah
• Alexandra Fam, CCC-SLP
• Chieh-Min Fan, MD
• Emerson Fang, LICSW

• Dentist in Brookline, MA
• Providers in Brookline, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.