Active NPI
Elias Ilyas
- Dentist
- Dedham, MA
National Provider Identifier
1013519263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858870
- Practice address
- 3 Gail LN
Dedham, MA 02026-6539 - Phone
- (781) 329-8401
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858870 | MA | Primary |
Addresses
Primary practice location
3 Gail LN
Dedham, MA 02026-6539
Mailing address
3 Gail LN
Dedham, MA 02026-6539
Phone (781) 329-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858870 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1013519263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GAIL LN",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266539",
"telephone_number": "781-329-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 GAIL LN",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266539",
"telephone_number": "781-329-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILYAS",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.