Rahul Malik DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856010 Issued in MA

Legal business name

RAHUL MALIK DMD LLC

Practice address

601 Pleasant St
Brockton, MA 02301-2512

Phone

(205) 639-7259

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Rahul Malik

Title

Dentist

Phone

(205) 639-7259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1093264525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012512",
            "telephone_number": "205-639-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL MALIK DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-639-7259"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.