NPIMap

Organization Active NPI

Ilshahuome Dental Surgery

  • Dental Clinic/Center
  • Attleboro Falls, MA
National Provider Identifier
1043985146
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ILSHAHUOME DENTAL SURGERY
Practice address
103 Commonwealth Ave
Attleboro Falls, MA 02763-1015
Phone
(508) 699-0449
Fax
(508) 699-4344
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Mohamed IlshahuomeNPI 1194210849
Title
Owner
Phone
(646) 371-3561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

103 Commonwealth Ave
Attleboro Falls, MA 02763-1015

Mailing address

103 Commonwealth Ave
Attleboro Falls, MA 02763-1015
Phone (508) 699-0449

Other names 1

  • Premierone Implant Centers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1043985146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COMMONWEALTH AVE",
            "city": "ATTLEBORO FALLS",
            "state": "MA",
            "postal_code": "027631015",
            "telephone_number": "508-699-0449",
            "fax_number": "508-699-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMONWEALTH AVE",
            "city": "ATTLEBORO FALLS",
            "state": "MA",
            "postal_code": "027631015",
            "telephone_number": "508-699-0449",
            "fax_number": "508-699-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILSHAHUOME DENTAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "ILSHAHUOME",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-371-3561"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premierone Implant Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Attleboro Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.