East Boston Family Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19757 Issued in MA

Legal business name

EAST BOSTON FAMILY DENTAL CENTER

Practice address

79 Meridian St
East Boston, MA 02128-1959

Phone

(617) 567-8882

Fax

(617) 997-4737

NPI assigned

Aug 12, 2009

Last updated

Aug 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mehdi Rahmatpour, DMD

Title

Owner

Phone

(617) 567-8882

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehdi Rahmatpour LLC, DMD

  • General Practice Dentistry
  • East Boston, MA
  • NPI 1902925530
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1972735793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MERIDIAN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281959",
            "telephone_number": "617-567-8882",
            "fax_number": "617-997-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MERIDIAN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281959",
            "telephone_number": "617-567-8882",
            "fax_number": "617-997-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOSTON FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "RAHMATPOUR",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-567-8882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Dwyer-Wilmer, MD
• Sarah Elizabeth Dybizbanski
• East Boston Behavioral Health and Medicine LLC
• East Boston Chiropractic and Rehabilitation Clinic, Inc.
• East Boston Dental and Orthodontics PC
• East Boston Family Wellness Center, Inc.
• East Boston Physical Therapy Center, Inc.
• Deborah Ann Eccleston
• Carlos Echevarria Maldonado, PHARMD
• Grace Eckojojo

• General Practice Dentistry in East Boston, MA
• Providers in East Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.