Individual provider Active NPI

Maher Kasabji, DDS

  • Dentist
  • Enfield, CT
National Provider Identifier
1891964623
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9016 Issued in CT
Practice address
150 Hazard Ave
#C3
Enfield, CT 06082-4575
Phone
(860) 763-5522
Fax
(860) 763-5521
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9016 CT Primary

Addresses

Primary practice location

150 Hazard Ave
#C3
Enfield, CT 06082-4575

Mailing address

150 Hazard Ave
#C3
Enfield, CT 06082-4575
Phone (860) 763-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160105001673 CT Order and Referring Only - DentistPractitioner - Dentist 9335441526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dental Center of Connecticut Dentist 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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1891964623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE",
            "address_2": "#C3",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824575",
            "telephone_number": "860-763-5522",
            "fax_number": "860-763-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE",
            "address_2": "#C3",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824575",
            "telephone_number": "860-763-5522",
            "fax_number": "860-763-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASABJI",
        "first_name": "MAHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.