Individual provider Active NPI

Hiam Elias, DMD, PC

  • General Practice Dentistry
  • Peabody, MA
National Provider Identifier
1245481456
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855331 Issued in MA
Practice address
6 Essex Ctr. Dr.
Suite 302
Peabody, MA 01960
Phone
(514) 501-7801
NPI assigned
Oct 7, 2008
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009895 CT
General Practice Dentistry 1223G0001X DN1855331 MA Primary

Addresses

Primary practice location

6 Essex Ctr. Dr.
Suite 302
Peabody, MA 01960

Mailing address

6 Essex Ctr. Dr.
Suite 302
Peabody, MA 01960
Phone (978) 532-0088

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
I20150605002004 MA Order and Referring Only - DentistPractitioner - Dentist 3072834746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009895CTMDGeneral Practice Dentistry
DN1855331MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Newburyport Dental Care and Implant Center Current Accepting new patients
North Shore Dental Center General Practice Past Accepting new patients

Organizations & group practices 2

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1245481456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CTR. DR.",
            "address_2": "SUITE 302",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-532-0088",
            "fax_number": "978-532-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CTR. DR.",
            "address_2": "SUITE 302",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "514-501-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "HIAM",
        "name_prefix": "Dr.",
        "credential": "DMD, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009895",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.