Organization Active NPI

Roumani Cosmetic Dental Services

  • General Practice Dentistry
  • West Roxbury, MA
National Provider Identifier
1992008049
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855307 Issued in MA
Legal business name
ROUMANI COSMETIC DENTAL SERVICES
Practice address
1811 Centre St
West Roxbury, MA 02132-1945
Phone
(626) 483-9965
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Leila Roumani, D.M.D.NPI 1730401662
Title
Dentist
Phone
(626) 483-9965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1855307 MA Primary

Addresses

Primary practice location

1811 Centre St
West Roxbury, MA 02132-1945

Mailing address

14 Centre St Apt 4
Cambridge, MA 02139-2109
Phone (626) 483-9965

Other identifiers 1

IdentifierTypeStateIssuer
1730401662OtherMAPREVIOUS NPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1992008049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CENTRE ST APT 4",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392109",
            "telephone_number": "626-483-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321945",
            "telephone_number": "626-483-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUMANI COSMETIC DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "ROUMANI",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-483-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS NPI NUMBER",
            "identifier": "1730401662",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.