Individual provider Active NPI

Farnaz Asha, DMD

  • General Practice Dentistry
  • Brighton, MA
National Provider Identifier
1871241968
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1859300 Issued in MA
Practice address
73 Litchfield St
Brighton, MA 02135-1215
Phone
(781) 346-4297
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1859300 MA Primary

Addresses

Primary practice location

73 Litchfield St
Brighton, MA 02135-1215

Mailing address

10 Tremont St Ste 402
Boston, MA 02108-2062
Phone (617) 523-2459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1859300MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perio Studio Associates PC CurrentSince Nov 12, 2023 Accepting new patients

Locations

10 Tremont St
Ste 402
Boston, MA 02108
Phone (617) 523-2459

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, 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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1871241968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TREMONT ST STE 402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082062",
            "telephone_number": "617-523-2459",
            "fax_number": "617-523-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LITCHFIELD ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351215",
            "telephone_number": "781-346-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHA",
        "first_name": "FARNAZ",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.