Individual provider Active NPI

Eyad Aldara

  • Dentist
  • Marlboro, MA
National Provider Identifier
1245519560
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855753 Issued in MA
Practice address
11 Court Street
Marlboro, MA 01752
Phone
(508) 485-0008
Fax
(508) 485-3919
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855753 MA Primary

Addresses

Primary practice location

11 Court Street
Marlboro, MA 01752

Mailing address

11 Court Street
Marlboro, MA 01752
Phone (508) 485-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161209001195 OH Order and Referring Only - DentistPractitioner - Dentist 9234419169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855753MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Dental Group, PC Dentist Past Accepting new patients
Unique Dental Care PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1245519560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURT STREET",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-485-0008",
            "fax_number": "508-485-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURT STREET",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-485-0008",
            "fax_number": "508-485-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDARA",
        "first_name": "EYAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, MA

Sources for this page

Verify at the official NPI Registry.