Individual provider Active NPI

Nina Razavi, DMD

  • General Practice Dentistry
  • North Attleboro, MA
National Provider Identifier
1881435352
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN100526 Issued in MA
Practice address
481 Old Post Rd Unit a
North Attleboro, MA 02760-4244
Phone
(508) 695-7031
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 DEN100526 MA Primary

Addresses

Primary practice location

481 Old Post Rd Unit a
North Attleboro, MA 02760-4244

Mailing address

85 Seaport Blvd Unit 1416
Boston, MA 02210-2167
Phone (813) 777-2972

Other practice location 1

1196 Smith St
Providence, RI 02908-2036
Phone (401) 351-3090

Other practice location 2

1 Thurber Blvd
Smithfield, RI 02917-1826
Phone (401) 231-7390

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
DEN100526MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cghe Dental LLC General Practice 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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1881435352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEAPORT BLVD UNIT 1416",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102167",
            "telephone_number": "813-777-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 OLD POST RD UNIT A",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604244",
            "telephone_number": "508-695-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1196 Smith St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029082036",
            "country_code": "US",
            "telephone_number": "401-351-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Thurber Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029171826",
            "country_code": "US",
            "telephone_number": "401-231-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZAVI",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DEN100526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.