Organization Active NPI

Hanover Endodontics LLC

  • Endodontics
  • Hanover, MA
National Provider Identifier
1043560451
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN21623 Issued in MA
Legal business name
HANOVER ENDODONTICS LLC
Practice address
51 Mill St
Unite #4
Hanover, MA 02339-1641
Phone
(781) 829-0555
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Ghyath Alkhalil, DMD
Title
Partner
Phone
(781) 829-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN21623 MA Primary

Addresses

Primary practice location

51 Mill St
Unite #4
Hanover, MA 02339-1641

Mailing address

51 Mill St
Unite #4
Hanover, MA 02339-1641
Phone (781) 829-0555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1043560451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MILL ST",
            "address_2": "UNITE #4",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391641",
            "telephone_number": "781-829-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MILL ST",
            "address_2": "UNITE #4",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391641",
            "telephone_number": "781-829-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "ALKHALIL",
        "authorized_official_first_name": "GHYATH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "781-829-0555",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN21623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.