NPIMap

Organization Active NPI

Winter Street Dental Group

  • Dental Clinic/Center
  • Hyannis, MA
National Provider Identifier
1104243674
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18265 Issued in MA
Legal business name
WINTER STREET DENTAL GROUP
Practice address
188 Winter St
Hyannis, MA 02601-2958
Phone
(508) 771-3887
Fax
(508) 778-0845
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. Ghazwan F. Ghazi, D.D.S.
Title
Owner/President
Phone
(508) 771-3887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 18265 MA Primary

Addresses

Primary practice location

188 Winter St
Hyannis, MA 02601-2958

Mailing address

188 Winter St
Hyannis, MA 02601-2958
Phone (508) 771-3887

National Provider Directory

National Provider Directory

Locations

188 Winter St
Hyannis, MA 02601
Phone (508) 771-3887

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": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1104243674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 WINTER ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012958",
            "telephone_number": "508-771-3887",
            "fax_number": "508-778-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 WINTER ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012958",
            "telephone_number": "508-771-3887",
            "fax_number": "508-778-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER STREET DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "GHAZWAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-771-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "18265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.