NPIMap

Organization Active NPI

Awesome Kids Teeth

  • Pediatric Dentistry
  • Framingham, MA
National Provider Identifier
1013200443
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20603 Issued in MA
Legal business name
AWESOME KIDS TEETH
Practice address
55 Main St
Unit # 3
Framingham, MA 01702-2934
Phone
(508) 875-9600
Fax
(508) 875-9604
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Kamar Baloul, DMD
Title
Pediatric Dentist
Phone
(508) 875-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20603 MA Primary

Addresses

Primary practice location

55 Main St
Unit # 3
Framingham, MA 01702-2934

Mailing address

55 Main St
Unit # 3
Framingham, MA 01702-2934
Phone (508) 875-9600

National Provider Directory

National Provider Directory
Tax ID family
Awesome Kids Teeth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Main St
Ste 3
Framingham, MA 01702
Phone (508) 875-9600

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1013200443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "UNIT # 3",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022934",
            "telephone_number": "508-875-9600",
            "fax_number": "508-875-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "UNIT # 3",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022934",
            "telephone_number": "508-875-9600",
            "fax_number": "508-875-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME KIDS TEETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "BALOUL",
        "authorized_official_first_name": "KAMAR",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "508-875-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "20603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.