Roua Al Timimi

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857116 Issued in MA

Practice address

1518 Hancock St
Quincy, MA 02169-5205

Phone

(617) 471-3600

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• 42 North Dental Care, LLC

  dba Gentle Dental Quincy

  • Dental Clinic/Center
  • Quincy, MA
  • NPI 1770852527
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1063879377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695205",
            "telephone_number": "617-471-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695205",
            "telephone_number": "617-471-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL TIMIMI",
        "first_name": "ROUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akinseye Akinbulumo
• Traci Akins
• Adeola Akinyemi
• Akpan Raymond Anesthesia LLC
• Abdulwahab Talat Al Tikriti, DMD
• Tala Tariq Al-Bajjali, DMD
• Elizabeth Sara Al-Doory, BM
• Esraa M Al-Jubory
• Mashael Al-Qallaf, BDS
• Alaa Alwazzan DMD PC

• Dentist in Quincy, MA
• Providers in Quincy, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.

Verify at the official NPI Registry.