Individual provider Active NPI

Maurice Zylber, DDS

  • Dentist
  • Dorchester, MA
National Provider Identifier
1881763431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MA11795 Issued in MA
Practice address
97 Neponset Ave
Dorchester, MA 02122
Phone
(617) 876-7900
Fax
(617) 876-7902
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MA11795 MA Primary

Addresses

Primary practice location

97 Neponset Ave
Dorchester, MA 02122

Mailing address

97 Neponset Ave
Dorchester, MA 02122
Phone (617) 265-6556

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
MA11795MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881763431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02122",
            "telephone_number": "617-265-6556",
            "fax_number": "617-265-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02122",
            "telephone_number": "617-876-7900",
            "fax_number": "617-876-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLBER",
        "first_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.