Individual provider Active NPI

Niloufar Khoobehi, DMD

  • Endodontics
  • Hingham, MA
National Provider Identifier
1992911820
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20280 Issued in MA
Practice address
210 Whiting St
Suite 2
Hingham, MA 02043-3724
Phone
(781) 749-1119
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 20280 MA Primary

Addresses

Primary practice location

210 Whiting St
Suite 2
Hingham, MA 02043-3724

Mailing address

210 Whiting St
Suite 2
Hingham, MA 02043-3724
Phone (781) 749-1119

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
I20160205000847 MA Order and Referring Only - DentistPractitioner - Dentist 3476857814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20280MAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hingham Endodontics, Inc. Endodontics Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1992911820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WHITING ST",
            "address_2": "SUITE 2",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-749-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WHITING ST",
            "address_2": "SUITE 2",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-749-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOOBEHI",
        "first_name": "NILOUFAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.