Active NPI
Manar Alghanim, B.D.S.
- Dentist
- Boston, MA
National Provider Identifier
1255748976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL12406
- Practice address
- 1 Kneeland St 8TH Floor Pediatric Department
Tufts Dental Hospital
Boston, MA 02111 - Phone
- (617) 636-6971
- Fax
- (617) 636-3473
- NPI assigned
- Jul 15, 2014
- Reactivated
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DL12406 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St 8TH Floor Pediatric Department
Tufts Dental Hospital
Boston, MA 02111
Mailing address
1 Kneeland St 8TH Floor (Pediatric Dept.)
Tufts Dental Hospital
Boston, MA 02111
Phone (617) 636-6971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL12406 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1255748976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST 8TH FLOOR (PEDIATRIC DEPT.)",
"address_2": "TUFTS DENTAL HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-6971",
"fax_number": "617-636-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST 8TH FLOOR PEDIATRIC DEPARTMENT",
"address_2": "TUFTS DENTAL HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-6971",
"fax_number": "617-636-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALGHANIM",
"first_name": "MANAR",
"name_prefix": "Miss",
"credential": "B.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2015-02-18",
"deactivation_date": "2015-02-16",
"reactivation_date": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL12406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.