Organization Active NPI

Maymudmd, Ralphlewis,DMD,Lililin, Dmdllp

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1194889766
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14926 Issued in MA
Legal business name
MAYMUDMD, RALPHLEWIS,DMD,LILILIN, DMDLLP
Doing business as
Family Dental Associates
Practice address
160 Winthrop Ave
Lawrence, MA 01843-3840
Phone
(978) 725-0072
Fax
(978) 725-6699
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. May Mu
Title
Owner
Phone
(978) 725-0072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14926 MA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 17629 MA

Addresses

Primary practice location

160 Winthrop Ave
Lawrence, MA 01843-3840

Mailing address

160 Winthrop Ave
Lawrence, MA 01843-3840
Phone (978) 725-0072

Other names 1

  • Family Dental Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1194889766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WINTHROP AVE",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433840",
            "telephone_number": "978-725-0072",
            "fax_number": "978-725-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WINTHROP AVE",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433840",
            "telephone_number": "978-725-0072",
            "fax_number": "978-725-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYMUDMD, RALPHLEWIS,DMD,LILILIN, DMDLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "MU",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-725-0072",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14926",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "17629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

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

Verify at the official NPI Registry.