Active NPI
Michael Tabbah, DMD
- Dentist
- West Bridgewater, MA
National Provider Identifier
1043304272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20277
- Practice address
- 345 W Center St
Suite 1
West Bridgewater, MA 02379-1600 - Phone
- (508) 894-8100
- Fax
- (508) 894-8101
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 10, 2022
- 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 | 20277 | MA | Primary |
Addresses
Primary practice location
345 W Center St
Suite 1
West Bridgewater, MA 02379-1600
Mailing address
345 West Center St
Ste 1
West Bridgewater, MA 02379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506000509 | MA | Order and Referring Only - Dentist | 1456650829 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20277 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Smiles PC | Dentist | Current | Accepting new patients |
Locations
120 W Center St
Ste 1
West Bridgewater, MA 02379
345 W Center St
Ste 1
West Bridgewater, MA 02379
Phone (508) 894-8100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1043304272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 WEST CENTER ST",
"address_2": "STE 1",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "02379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W CENTER ST",
"address_2": "SUITE 1",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791600",
"telephone_number": "508-894-8100",
"fax_number": "508-894-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBAH",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-03-10",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bridgewater, MA
- South Shore Speech, LLC
- Southeast Adolescent and Adult Counseling
- Gennessa Spang-Hansen, DPT
- Leaanne Stunkel-Doyle, LMHC
- Summit Home Healthcare LLC
- Victoria Jayne Tan
- Tender Loving Care Health Care Services of New England, LLC (Amedisys Home Health Care)
- John K Terzian, MD
- Lee-Anne M Thoms, LICSW, OTA
- Susan A Todd, LIC. AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.