Individual provider Active NPI

Tadros Michel Tadros, BDS, DDS, CAGS

  • Endodontics
  • Hudson, NH
National Provider Identifier
1174906945
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
04444 Issued in NH
Practice address
182 Central St
Hudson, NH 03051
Phone
(603) 882-5455
Fax
(603) 886-7999
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN1856946 MA
Endodontics 1223E0200X 04444 NH Primary

Addresses

Primary practice location

182 Central St
Hudson, NH 03051

Mailing address

182 Central St
Hudson, NH 03051-4651
Phone (603) 882-5455

Other practice location 1

100 E Newton St
G-202
Boston, MA 02118-2308
Phone (617) 638-4750

Other practice location 2

275 W Main St
Norton, MA 02766-2104
Phone (508) 226-1686

Other practice location 3

66 Dwight Rd
Longmeadow, MA 01106-1889
Phone (413) 565-2733

Other practice location 4

201 Boston Post Rd W Ste 409
Marlborough, MA 01752
Phone (508) 485-6723

Other practice location 5

201 Boston Post Rd W Ste 409
Marlborough, MA 01752
Phone (508) 485-6723

Other practice location 6

1372 Hancock St Ste 101
Quincy, MA 02169-5107
Phone (617) 472-3919

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160425000737 MA Order and Referring Only - DentistPractitioner - Dentist 1557660677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856946MAMDEndodontist
04444NHMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Endodontics of NH Endodontics CurrentSince Oct 29, 2023 Accepting new patients
Hudson Endodontics, P.C. Endodontics Past Accepting new patients
Norton Family Dental Group Past Accepting new patients
Endodontic Associates, Inc. Endodontics Past Accepting new patients
Ekbal H. Elkadry, D.M.D., P.C. Endodontics Past Accepting new patients

Locations

182 Central St
Hudson, NH 03051
Phone (603) 882-5455

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1174906945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 CENTRAL ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514651",
            "telephone_number": "603-882-5455",
            "fax_number": "603-886-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 CENTRAL ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "03051",
            "telephone_number": "603-882-5455",
            "fax_number": "603-886-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Newton St",
            "address_2": "G-202",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "617-638-4750",
            "fax_number": "617-638-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 W Main St",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "MA",
            "postal_code": "027662104",
            "country_code": "US",
            "telephone_number": "508-226-1686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Dwight Rd",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011061889",
            "country_code": "US",
            "telephone_number": "413-565-2733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Boston Post Rd W Ste 409",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "01752",
            "country_code": "US",
            "telephone_number": "508-485-6723",
            "fax_number": "508-229-8544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Boston Post Rd W Ste 409",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "01752",
            "country_code": "US",
            "telephone_number": "508-485-6723",
            "fax_number": "508-229-8544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1372 Hancock St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021695107",
            "country_code": "US",
            "telephone_number": "617-472-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADROS",
        "first_name": "TADROS",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "BDS, DDS, CAGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN1856946",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NH",
            "license": "04444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

Verify at the official NPI Registry.