Ahmed Periodontics PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

AHMED PERIODONTICS PC

Practice address

5 Kerrigan Way
Woburn, MA 01801-4043

Phone

(617) 596-6323

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alaa Ahmed

Title

Owner

Phone

(617) 596-6323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1114657269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KERRIGAN WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KERRIGAN WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014043",
            "telephone_number": "617-596-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED PERIODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-596-6323"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.