Active NPI
Abdulrahman Alghamdi, BDS
- Dentist
- Boston, MA
National Provider Identifier
1023557063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL13172
- Practice address
- 630 Washington St
Unit 304
Boston, MA 02111-1666 - Phone
- (857) 260-8475
- NPI assigned
- Feb 22, 2017
- Last updated
- Feb 22, 2017
- 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 | DL13172 | MA | Primary |
Addresses
Primary practice location
630 Washington St
Unit 304
Boston, MA 02111-1666
Mailing address
630 Washington St
Unit 304
Boston, MA 02111-1666
Phone (857) 260-8475
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 |
|---|---|---|---|
| DL13172 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1023557063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 WASHINGTON ST",
"address_2": "UNIT 304",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111666",
"telephone_number": "857-260-8475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 WASHINGTON ST",
"address_2": "UNIT 304",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111666",
"telephone_number": "857-260-8475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALGHAMDI",
"first_name": "ABDULRAHMAN",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL13172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.