Majed Jaradeh, DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

19587 Issued in MA

Practice address

163 Pine Street
Lowell, MA 01851

Phone

(978) 454-5648

Fax

(978) 454-4434

NPI assigned

Apr 16, 2007

Sex

Male

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 and National Provider Directory roles.

• Dental Associates of Lowell Inc

  • Dentist
  • Lowell, MA
  • NPI 1861553281
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093930869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PINE STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "978-454-5648",
            "fax_number": "978-454-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PINE STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "978-454-5648",
            "fax_number": "978-454-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARADEH",
        "first_name": "MAJED",
        "name_prefix": "Dr.",
        "credential": "DMD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Fatima Jaffri, PA
• Nawshin Jamil, DO
• Nersis Jamsakian
• Donna M. Janas, MA, LMHC
• Jane Wagema-Johnson
• Giselle Janet Jaramillo
• Kristin Laura Jauch
• Diana Javier
• JD Home Health Care LLC
• Christine Jean-Baptiste

• Dentist in Lowell, MA
• Providers in Lowell, MA by specialty
• Dentist 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.