Individual provider Active NPI

Syed Faheem Rasool, D.M.D.,M.M.SC

  • Prosthodontics
  • Brookline, MA
National Provider Identifier
1982754412
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18801 Issued in MA
Practice address
1577 Beacon St
Brookline, MA 02446-4602
Phone
(617) 734-8599
Fax
(617) 739-8452
NPI assigned
Jan 10, 2007
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 18801 MA Primary

Addresses

Primary practice location

1577 Beacon St
Brookline, MA 02446-4602

Mailing address

1577 Beacon St
Brookline, MA 02446-4602
Phone (617) 734-8599

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150730013574 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971817297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18801MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1982754412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464602",
            "telephone_number": "617-734-8599",
            "fax_number": "617-739-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464602",
            "telephone_number": "617-734-8599",
            "fax_number": "617-739-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "SYED",
        "middle_name": "FAHEEM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.M.SC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.