Individual provider Active NPI

Heni Tufa, DMD

  • Dentist
  • Acton, MA
National Provider Identifier
1194163956
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856279 Issued in MA
Practice address
418 Massachusetts Ave Ste 3
Acton, MA 01720-3723
Phone
(978) 263-7703
NPI assigned
Jun 13, 2013
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856279 MA Primary

Addresses

Primary practice location

418 Massachusetts Ave Ste 3
Acton, MA 01720-3723

Mailing address

418 Massachusetts Ave Ste 3
Acton, MA 01720-3723
Phone (978) 263-7703

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
DN1856279MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Acton Smile Hub PC Current Accepting new patients

Locations

418 Massachusetts Ave
Ste 3
Acton, MA 01720
Phone (207) 518-1960

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1194163956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MASSACHUSETTS AVE STE 3",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203723",
            "telephone_number": "978-263-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MASSACHUSETTS AVE STE 3",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203723",
            "telephone_number": "978-263-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFA",
        "first_name": "HENI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.