NPIMap

Organization Active NPI

Chelmsford Dental Group PC

  • Dental Clinic/Center
  • Chelmsford, MA
National Provider Identifier
1093331191
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHELMSFORD DENTAL GROUP PC
Practice address
275 Billerica Rd
Chelmsford, MA 01824-4149
Phone
(978) 667-6600
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Dr. Ghazwan Ghazi, D.M.D., M.SNPI 1659443869
Title
Periodontist
Phone
(617) 462-3780

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

275 Billerica Rd
Chelmsford, MA 01824-4149

Mailing address

275 Billerica Rd
Chelmsford, MA 01824-4149
Phone (617) 462-3780

National Provider Directory

National Provider Directory

Locations

275 Billerica Rd
Chelmsford, MA 01824
Phone (978) 667-6600

Practitioners & affiliated clinicians

Practitioners 1

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1093331191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244149",
            "telephone_number": "617-462-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244149",
            "telephone_number": "978-667-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "GHAZWAN",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "617-462-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.