NPIMap

Organization Active NPI

Salib Fanikos Dental Care

  • Dentist
  • Needham, MA
National Provider Identifier
1235585969
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21751 Issued in MA
Legal business name
SALIB FANIKOS DENTAL CARE
Practice address
905 Great Plain Ave
Needham, MA 02492-3031
Phone
(781) 343-7447
Fax
(781) 343-7448
NPI assigned
May 12, 2016
Last updated
May 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Dr. Laurice Salib Fanikos, D.M.D.NPI 1740343854
Title
Owner/Dentist
Phone
(508) 648-3878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN21751 MA Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DN1855237 MA

Addresses

Primary practice location

905 Great Plain Ave
Needham, MA 02492-3031

Mailing address

905 Great Plain Ave
Needham, MA 02492-3031
Phone (781) 343-7447

Other names 1

  • Fanikos Salib Dental Care Other name

National Provider Directory

National Provider Directory

Locations

905 Great Plain Ave
Needham, MA 02492
Phone (781) 343-7447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1235585969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923031",
            "telephone_number": "781-343-7447",
            "fax_number": "781-343-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923031",
            "telephone_number": "781-343-7447",
            "fax_number": "781-343-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIB FANIKOS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "FANIKOS",
        "authorized_official_first_name": "LAURICE",
        "authorized_official_middle_name": "SALIB",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "508-648-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN21751",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fanikos Salib Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.