Sigal Revah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19723 Issued in MA

Practice address

409 Main St
Wakefield, MA 01880-3017

Phone

(781) 224-0021

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By 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 Wakefield

  • Dental Clinic/Center
  • Wakefield, MA
  • NPI 1194094854
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093890683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803017",
            "telephone_number": "781-224-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAH",
        "first_name": "SIGAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Legraw Reed, RN MS BC ANP ACNP
• Audrey J Reffie, MSW
• Arielle Reindeau
• Lindsay Repucci
• David Restrepo
• Christy L Rhind, PT
• Patricia Callahan Rhode, LMHC
• Susan Rhodes
• Keverton Keven Ribeiro de Souza Melo
• Ghena Ribeiro, MS, LADC 1, MAPGS

• General Practice Dentistry in Wakefield, MA
• Providers in Wakefield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.