Active NPI
Irina Florentina Dragan, DMD
- Periodontics
- Boston, MA
National Provider Identifier
1902144678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DL11628
- Practice address
- 1 Kneeland St
Department of Periodontology
Boston, MA 02111-1527 - Phone
- (347) 249-1729
- NPI assigned
- Jan 30, 2013
- Last updated
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DL11628 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St
Department of Periodontology
Boston, MA 02111-1527
Mailing address
1 Kneeland St
Department of Periodontology
Boston, MA 02111-1527
Phone (347) 249-1729
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
| License | State | Type | Specialty |
|---|---|---|---|
| DL11628 | MA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perio Studio Associates PC | Current | 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, 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": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1902144678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"address_2": "DEPARTMENT OF PERIODONTOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "347-249-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"address_2": "DEPARTMENT OF PERIODONTOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "347-249-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGAN",
"first_name": "IRINA",
"middle_name": "FLORENTINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DL11628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.