Houssam Alkhoury, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MA20511 Issued in MA

Practice address

101 Pleasant St
#210
Worcester, MA 01609

Phone

(508) 757-3173

Fax

(508) 757-3760

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sam Alkhoury Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 5, 2018 through Dec 5, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Simply Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dayville, CT
  • NPI 1740675081
  NPD (past) Authorized official
• Simply Orthodontics, NH, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Derry, NH
  • NPI 1396104857
  NPD (past) Authorized official
• Sam Alkhoury DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Worcester, MA
  • NPI 1073611810
  NPD (past)
• Pediatric Dentistry and Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New Britain, CT
  • NPI 1225546567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1043403769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "address_2": "#210",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-757-3173",
            "fax_number": "508-757-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "address_2": "#210",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-757-3173",
            "fax_number": "508-757-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHOURY",
        "first_name": "HOUSSAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "MA20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "ALKHOURY",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joan Alipour, LPN
• Richard R. Alix Jr., MSW
• Safa Aljeboure, OD
• Chams Alkhalaf Albachir, M.B.B.S.
• Fatin Alkhaledi
• Asma Alkusayer, MA
• Melissa F Allahua, DO
• Jeana-Marie Allan, PSY.D.
• Albert Allard, PHARMD
• Marla J Allard, CCC-A

• Orthodontics and Dentofacial Orthopedics Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.