Individual provider Active NPI

Nadia Muhammad Morad

  • Dentist
  • Northborough, MA
National Provider Identifier
1134531981
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856523 Issued in MA
Practice address
10010 Shops Way # H
Northborough, MA 01532-4118
Phone
(508) 466-2223
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856523 MA Primary

Addresses

Primary practice location

10010 Shops Way # H
Northborough, MA 01532-4118

Mailing address

2112 Simeon Howard Way
Westborough, MA 01581-1883
Phone (978) 552-8068

Other practice location 1

32 Warwick St
Lawrence, MA 01841-3212
Phone (978) 552-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856523MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1134531981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SIMEON HOWARD WAY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811883",
            "telephone_number": "978-552-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 SHOPS WAY # H",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015324118",
            "telephone_number": "508-466-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Warwick St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018413212",
            "country_code": "US",
            "telephone_number": "978-552-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAD",
        "first_name": "NADIA",
        "middle_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.