Noha Anan Elkadry, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18623 Issued in MA

Practice address

10 Converse Place
4TH Floor
Winchester, MA 01890

Phone

(781) 729-4644

Fax

(781) 729-4644

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bay State Dental Specialists PC

  • Periodontics
  • Winchester, MA
  • NPI 1124135439
  Authorized official Same address or phone
• Greystone Pain Management Inc

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Canton, MA
  • NPI 1508100157
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255448551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONVERSE PLACE",
            "address_2": "4TH FLOOR",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-4644",
            "fax_number": "781-729-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONVERSE PLACE",
            "address_2": "4TH FLOOR",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-4644",
            "fax_number": "781-729-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKADRY",
        "first_name": "NOHA",
        "middle_name": "ANAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "18623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Durso Jr., RDN
• Kylee Jean Dwyer
• E. Elizabeth Nutrition Counseling LLC
• Eric Ebert, MD
• Edward a Ryan, MD, PC
• Energi Nutrition LLC
• Caryl Ann Erdos, MSCCCSLP
• Kristine Ann Erickson, OD, PHD
• Kevin Escano, PHARMD
• Rochelle Bell Ettlinger, NURSE PRACTITIONER

• Periodontics in Winchester, MA
• Providers in Winchester, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.