MUSTAFA TASHKANDI (NPI# 1588209050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588209050 |
| Entity Type | Individual |
| Full Name | MUSTAFA TASHKANDI |
| Practice Address |
635 Albany Street Boston MA 02118 |
| Mailing Address |
3920 Mystic Valley Pkwy Medford MA 02155-6912 |
| Practice Telephone | 6173588300 |
| Mailing Telephone | 6179529159 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DL14259 | MA | Dental Providers |
| Street Address |
635 ALBANY STREET |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331521 | Varun Singh | Dentist | 635 Albany Street, Bu Henry M. Goldman School of Dentistry, Boston, MA 02118 | 2018-10-05 |
| 1609473008 | Christopher Kenneth Webb | Dentist | 635 Albany Street, Boston, MA 02118 | 2020-10-08 |
| 1952923898 | Ali Khodadad-hossaini | Student in an Organized Health Care Education/Training Program | 635 Albany Street, Suite G-446, Boston, MA 02118 | 2020-05-14 |
| 1386265809 | Joshua Neil Hurlburt | Student in an Organized Health Care Education/Training Program | 635 Albany Street, Pediatric Dentistry Department, Boston, MA 02118 | 2020-05-06 |
| 1699304188 | Jessica Lau | Dentist | 635 Albany Street, Boston, MA 02118 | 2020-04-06 |
| 1437796489 | Yousra M El-kei | Dentist | 635 Albany Street, Boston, MA 02118 | 2019-12-09 |
| 1861037863 | Christopher Minn | Dentist | 635 Albany Street, Boston, MA 02118 | 2019-11-13 |
| 1396380861 | Abdullah Bamashmous | Dentist | 635 Albany Street, Boston, MA 02118 | 2019-11-08 |
| 1457994980 | Nicholas S Kim | Student in an Organized Health Care Education/Training Program | 635 Albany Street, G407, Boston, MA 02118 | 2019-10-28 |
| 1427690411 | Rami Alhomrany | Dentist | 635 Albany Street, Boston, MA 02118 | 2019-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1437700218 | Mansour Alasiri | Dentist | 650 Albany St Ste 341, Boston, MA 02118-2518 | 2019-09-24 |
| 1508417338 | Bushra Aljahdali | Dentist | 650 Albany St Fl 3, Boston, MA 02118-2518 | 2019-09-23 |
| 1043863533 | Ricardo Lazaro Pascual | Dentist | 1 Kneeland St Dept, Boston, MA 02111-1527 | 2019-07-23 |
| 1992294979 | Smile Design Boston | Dentist | 21 Custom House St Ste 110, Boston, MA 02110-3525 | 2018-05-06 |
| 1245739291 | Maryam A Alsendi | Dentist | 100 E Newton St Ste G217, Boston, MA 02118-2308 | 2018-02-05 |
| 1528590783 | Rayan Al Edreesi | Dentist | 100 E Netwton St, Suite G-217, Boston, MA 02118 | 2017-03-28 |
| 1013457290 | Majed Khalid M Alshehri | Dentist | 100 East Newton Street Boston, Boston, MA 02118 | 2017-03-07 |
| 1699105734 | Perico Back Bay, LLC | Dentist | 400 Commonwealth Ave. 3rd Flr., Boston, MA 02215 | 2013-11-26 |
| 1639429525 | Majdi Ahmed Aladmawy | Dentist | 1 Kneeland St, Dhs 15, Boston, MA 02111 | 2012-09-18 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.