Forough Tabatabai, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

17496 Issued in MA

Practice address

444 Washington St
#312
Woburn, MA 01801

Phone

(781) 938-5100

Fax

(781) 938-6389

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ft Dental Corp

  • General Practice Dentistry
  • Woburn, MA
  • NPI 1093988362
  NPD (past) Authorized official

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": "1962571604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WASHINGTON ST",
            "address_2": "#312",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-938-5100",
            "fax_number": "781-938-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WASHINGTON ST",
            "address_2": "#312",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-938-5100",
            "fax_number": "781-938-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATABAI",
        "first_name": "FOROUGH",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Sympre
• Susanne Szekely, DVM
• Gabriela Fernandez Szemes, PSY.D.
• Manora Szeto, M.D.
• Lauren K Szolomayer, M.D.
• Patricia Gail Salcedo Tabbilos, FNP-C
• Drew Howland Taft, D.P.M
• Kristin Talcott
• Nina Lucia Tamashunas, MD
• Katherine Tambascio, DC

• Dentist in Woburn, MA
• Providers in Woburn, MA by specialty
• Dentist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.