Individual provider Active NPI

Abiar Ali Alwael, BCWD BACHELOR OF DEN

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1073994604
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
DL12693 Issued in MA
Practice address
One Kneeland Street
Tufts University School of Dental Medicine 12TH Floor
Boston, MA 02111
Phone
(617) 636-6531
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X DL12693 MA Primary

Addresses

Primary practice location

One Kneeland Street
Tufts University School of Dental Medicine 12TH Floor
Boston, MA 02111

Mailing address

One Kneeland Street
Tufts University School of Dental Medicine, 12TH Floor
Boston, MA 02111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DL12693MAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1073994604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE KNEELAND STREET",
            "address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, 12TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE KNEELAND STREET",
            "address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE 12TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWAEL",
        "first_name": "ABIAR",
        "middle_name": "ALI",
        "name_prefix": "Miss",
        "credential": "BCWD BACHELOR OF DEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "DL12693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.