NPIMap

Organization Active NPI

Quincy Dentists LLC

  • Dentist
  • Quincy, MA
National Provider Identifier
1003366634
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18691 Issued in MA
Legal business name
QUINCY DENTISTS LLC
Practice address
79 Elm St
Quincy, MA 02169-5414
Phone
(617) 472-7910
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Basel Badawi
Title
Owner
Phone
(617) 472-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 18691 MA Primary

Addresses

Primary practice location

79 Elm St
Quincy, MA 02169-5414

Mailing address

79 Elm St
Quincy, MA 02169-5414
Phone (617) 472-7910

National Provider Directory

National Provider Directory

Locations

79 Elm St
Quincy, MA 02169
Phone (617) 221-3560

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1003366634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ELM ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695414",
            "telephone_number": "617-472-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ELM ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695414",
            "telephone_number": "617-472-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "BADAWI",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-472-7910"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.