Active NPI
Maymudmd, Ralphlewis,DMD,Lililin, Dmdllp
- General Practice Dentistry
- Lawrence, MA
National Provider Identifier
1194889766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14926
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14926 | MA | Primary |
| Periodontics | 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
National Provider Directory
National Provider DirectoryNPI 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.