Active NPI
Lina Al-Aswad , DMD, PC
- Dental Clinic/Center
- Somerville, MA
National Provider Identifier
1124299391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 19750
- Legal business name
- LINA AL-ASWAD , DMD, PC
- Practice address
- 1133 Broadway
Somerville, MA 02144-1826 - Phone
- (617) 625-3636
- Fax
- (617) 625-6997
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lina A Al-Aswad, DMD
- Title
- Dentist/Owner
- Phone
- (617) 625-3636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 19750 | MA | Primary |
Addresses
Primary practice location
1133 Broadway
Somerville, MA 02144-1826
Mailing address
1133 Broadway
Somerville, MA 02144-1826
Phone (617) 625-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0297968 | Other | MA | MASSHEALTH |
Other names 1
- Al-Aswad Dental
National Provider Directory
National Provider DirectoryLocations
1133 Broadway
Somerville, MA 02144
Phone (617) 625-3636
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Somerville, MA
- NPI 1457454035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1124299391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441826",
"telephone_number": "617-625-3636",
"fax_number": "617-625-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441826",
"telephone_number": "617-625-3636",
"fax_number": "617-625-6997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINA AL-ASWAD , DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "AL-ASWAD",
"authorized_official_first_name": "LINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "617-625-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MA",
"license": "19750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "0297968",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Al-Aswad Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.