Organization Active NPI

Nima Behazin, DMD LLC

Doing business as Tower Hill Dental

  • General Practice Dentistry
  • Wakefield, RI
National Provider Identifier
1083250195
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NIMA BEHAZIN, DMD LLC
Doing business as
Tower Hill Dental
Practice address
4959 Tower Hill Rd
Wakefield, RI 02879-2283
Phone
(401) 783-1975
NPI assigned
Nov 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Authorized official

Name
Dr. Nima Behazin, DMDNPI 1639527690
Title
Dentist
Phone
(401) 783-1975

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4959 Tower Hill Rd
Wakefield, RI 02879-2283

Mailing address

4959 Tower Hill Rd
Wakefield, RI 02879-2283
Phone (401) 783-1975

Other names 1

  • Tower Hill Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4959 Tower Hill Rd
Wakefield, RI 02879
Phone (401) 783-1975

Practitioners & affiliated clinicians

Practitioners 2

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": "1574553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574553600000",
    "number": "1083250195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 TOWER HILL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792283",
            "telephone_number": "401-783-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 TOWER HILL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792283",
            "telephone_number": "401-783-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA BEHAZIN, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A",
        "authorized_official_last_name": "BEHAZIN",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-783-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; 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.